They made it 'painfully' obvious/clear that we were not welcome. [=they made it very clear in a way that was rude or upsetting that we were not welcome]
His ankle is swollen and 'painful to the touch'. [=his ankle hurts if he touches it]
After the injury she was 'painfully' aware that her career in tennis would be over.
(..) we do this, not because Hunger Games books makes us happy but because we wanna be sedated. Because it's painful not to pretend, because we're cowards. Fuck society. Elliot. You're not saying (..)2015 TvShow: Mr. Robot Title: eps1.0_hellofriend.mov Season: 1 Episode 1