The "agony" component points to a high-intensity emotional or physical experience, frequently found in genres like raw blues, punk-influenced rock, or intensely personal singer-songwriter material.

While primarily an explicit ecchi/hentai series, fans note that the Adam's Sweet Agony storyline centers heavily on Itsuki's inner conflicts and the emotional turmoil of his situation.

It is the feeling of growth, which is rarely comfortable but often rewarding. Why We Seek the Raw