English Reference

Word

ill

US/ˈɪɫ/

UK/ˈɪl/

Definitions

01sick or unwell

A2 · Elementary

adj. feeling sick or not healthy.

adj. suffering from a physical or mental ailment; unwell. In British English, it is the standard term for 'sick', whereas in American English, it often implies a more serious or chronic condition.

“He felt ill after eating the seafood and had to go home early.”

“She has been seriously ill for several weeks, requiring constant medical supervision and a strict regimen of rest.”

Pitfall

The ill man stayed in bed.

The sick man stayed in bed.

In modern English, 'ill' is usually used after a verb like 'be' or 'feel'. Use 'sick' before a noun.

Synonyms

Antonyms

02bad or harmful

B2 · Upper Intermediate Formal

adj. bad, harmful, or showing unkind feelings.

adj. harmful, hostile, or unkind in nature or intention. Often used in fixed expressions like 'ill will' or 'ill effects'.

“The medicine had some ill effects that made him feel very tired.”

“Despite their professional rivalry, he bore his competitor no ill will and even congratulated her on the promotion.”

Antonyms

03impressive or cool

C1 · Advanced Slang

adj. very good, cool, or impressive.

adj. highly impressive, skillful, or excellent. This sense is a contronym where a word with a negative literal meaning is used positively.

“That skateboard trick was ill; I've never seen anyone do that before.”

“The DJ dropped an ill beat that immediately filled the dance floor with energy.”

Antonyms

wacklame

04badly or poorly

B2 · Upper Intermediate

adv. done in a bad way or not well.

adv. in a poor, inadequate, or unfavorable manner. Frequently used as a prefix in hyphenated compounds like 'ill-equipped' or 'ill-informed'.

“The hikers were ill-prepared for the sudden change in weather.”

“The company was ill-equipped to handle such a massive influx of customer complaints during the product recall.”

Antonyms

05problems or trouble

C1 · Advanced Countable noun Formal · Literary

n. problems, troubles, or things that cause suffering.

n. a problem, difficulty, or misfortune; often used in the plural to describe societal issues.

“The politician promised to fix the social ills of the city.”

“The essay examines the various social ills that contributed to the economic decline of the region in the late twentieth century.”

Antonyms

Etymology

From Middle English ille, an adjective meaning "evil; wicked", from Old Norse íllr (adjective), ílla (adverb), and ílt (noun). The Norse forms descend from Proto-Germanic \ilhilaz, which in turn derives from Proto-Indo-European \h₁elḱ-, a root meaning wound or ulcer: Latin ulcus ("sore"), Ancient Greek ἕλκος hélkos ("wound, ulcer"), and Sanskrit अर्शस् árśas ("hemorrhoids") all share this origin.

The cognates have kept rougher company than English ill. Scots and Yola preserve ill in the same spelling; Danish has ilde ("bad"), Norwegian ille ("bad") in both standard forms, Swedish illa ("badly; poorly"), and Faroese and Icelandic share illur ("bad, ill, wicked"). The semantic range across Germanic suggests the word carried moral and physical senses from the start: a wound, a wrong, a thing that festers.

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

Word family

ADJECTIVE

ill(A2)

Idioms

This entry

Exam level
CambridgeCambridgeCambridge English QualificationsThe exam suite from Cambridge University Press & Assessment, from A1 Movers up to C2 Proficiency. The benchmark names double as CEFR labels.A2 KeyIELTSIELTSInternational English Language Testing SystemThe 0–9 band test co-owned by the British Council, IDP, and Cambridge. Used for university entry, work, and migration.3.0–4.0TOEFL iBTTOEFL iBTTest of English as a Foreign Language, Internet-Based TestETS's academic English test, the standard route for US university admissions. Scored 0–120, with a 1–6 scale since 2026.1–6 scale: 2.0–2.524–43TOEICTOEICTest of English for International CommunicationETS's workplace English test, big in Japan and Korea. Listening & Reading scores 10–990 and tops out at C1.225–549
Frequency
Common
Level
A2 · Elementary
Updated

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