D. is going to be the answer.
It shows cruelty and anxiety more than any other answer.
From the options above the one with strongest connotation to replace one poor word would be: (C) Miserable
Speech is not innocent and words are sometimes, consciously or unconsciously, charged with an interpretation different from what is said. In this miserable case it could be taken in a derogatory way or simply as a person who is having a bad time and being very sad feels miserable. Although surely, there could have some other interpretation of the word.
Answer: I’d say either C or D
Explanation: