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Accidental PiercingPlay
Usually implies an accident, often used to describe injuries. SlideShe slipped and impaled her arm on a fencing spike.
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Severity of WoundPlay
Suggests a serious wound due to the action of impaling. SlideThe doctor rushed to the man who impaled his leg on a rod.
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Vivid ImageryPlay
Evokes a clear and often disturbing image, useful in descriptive writing. SlideThe battlefield was strewn with warriors impaled on spears.