Emphasis/Severity:
* Marked: This emphasizes the distinctness or obviousness of something.
* Significant: This suggests the importance or weightiness of the characteristic.
* Strong: This emphasizes the intensity or power of the feature.
* Distinct: This implies that the characteristic is easily recognizable and different from others.
Speech:
* Articulated: This refers to the clarity and precision of the way something is spoken.
* Enunciated: This emphasizes the distinct and clear pronunciation of each sound.
Physical Appearance:
* Prominent: This describes something that stands out or is easily noticeable.
* Striking: This implies something that is eye-catching or impressive.
Other:
* Evident: This emphasizes the clear and obvious nature of something.
* Notable: This implies that something is worthy of attention or special mention.
Example:
* Original sentence: The patient had a pronounced limp.
* Synonyms: The patient had a marked limp.
* Synonyms: The patient had a significant limp.
* Synonyms: The patient had a strong limp.
Ultimately, the best synonym will depend on the specific context and the nuance you want to convey.