A dilemma is a situation in which you have to choose between two equally undesirable options. There are several synonyms that you can use instead of the word dilemma. For instance, you can use the word predicament, which refers to a difficult or unpleasant situation. Another synonym for dilemma is quandary, which is a state of uncertainty or perplexity. A conundrum, on the other hand, is a perplexing or confusing problem. If you want to describe a particularly difficult dilemma, you can use the word impasse, which refers to a deadlock or a situation in which no progress can be made. Ultimately, all of these synonyms capture the essence of a seemingly insurmountable choice.