The word "piteous" is often used to describe something that is deserving of pity or compassion. However, there are several synonyms that can be used to convey a similar meaning. One option is "pathetic," which can be used to describe something or someone that is causing feelings of sympathy or sadness. Another synonym is "miserable," which often refers to a person or situation that is extremely unhappy or distressing. "Heartbreaking" is another synonym that is often used to describe something that is emotionally difficult to bear. Other options include "woeful," "pitiful," and "sorrowful." Each of these words can be used to convey a sense of sadness or pity.