All 6 Uses

agony
in
The Death of Ivan Ilych
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Those lies — lies enacted over him on the eve of his death and destined to degrade this awful, solemn act to the level of their visitings, their curtains, their sturgeon for dinner — were a terrible agony for Ivan Ilych.†
Chpt 7

agony = intense suffering
why must I die and die in agony?
Chpt 9 *

agony = a state with intense suffering
He suffered ever the same unceasing agonies and in his loneliness pondered always on the same insoluble question: "What is this?†
Chpt 10
Agony, death......What for?†
Chpt 10

agony = intense suffering
He felt that his agony was due to his being thrust into that black hole and still more to his not being able to get right into it.†
Chpt 12
For those present his agony continued for another two hours.†
Chpt 12

Definitions:

(1) (agony)
intense feelings of suffering -- can be from mental or physical pain
(2) (meaning too rare to warrant focus)