English Reference
adjective · noun

delusional

adj. · n.
US /dɪˈɫuʒənəɫ/ UK /dɪlˈuːʒənəl/ delu·sion·al

  1. 01 B2 Upper Intermediate

    adj.believing something that is not true, even when there is proof that you are wrong.

    adj.holding idiosyncratic beliefs that are maintained despite being contradicted by reality or rational argument.

    Simple

    He was delusional if he thought he could finish the whole project in one day.

    In context

    The CEO's delusional insistence that the company was profitable led to a complete lack of preparation for the upcoming audit.

  2. 02 C1 Advanced Technical Medicine

    adj.relating to a serious mental health condition where a person cannot tell what is real.

    adj.pertaining to or characterised by clinical delusions as a symptom of a psychiatric disorder.

    Simple

    The patient was experiencing delusional thoughts and needed professional help.

    In context

    The psychiatrist noted that the patient's delusional episodes were becoming more frequent and less responsive to the current medication dosage.

  3. 03 C2 Proficiency Formal

    n.a person who believes things that are not true.

    n.an individual suffering from a delusion or a delusional disorder.

    Simple

    The book describes the tragic life of a delusional who believed he was a king.

    In context

    In his early essays, the philosopher treats the delusional not as a patient to be cured, but as a subject with a unique perspective on reality.

    Usage

    This noun use is relatively rare and can sound clinical or insensitive; the adjective is much more common.

He is among a group of researchers studying how chatbots respond to delusional thinking to try to identify who might be most at risk.

Ars Technica· 9 Sept 2026

From delusion + -al.

Etymology adapted from Wiktionary, available under CC BY-SA 4.0.

This entry
Level B2 · Upper Intermediate
Frequency Frequent
Updated