If you want to express "least familiar":
* Least familiar: This is the most straightforward option.
* Most unfamiliar: This is a more formal way of saying "least familiar."
* Utterly unfamiliar: This emphasizes the complete lack of familiarity.
* Totally alien: This implies a sense of strangeness and unfamiliarity.
If you want to express "most unfamiliar":
* Most unfamiliar: This directly expresses the opposite of "most familiar."
* Most estranged: This emphasizes a sense of separation or distance.
* Most foreign: This implies a complete lack of connection or understanding.
The best choice depends on the specific situation and the nuance you want to convey.