Most affected by or inclined toward gout; having the most severe symptoms or characteristics of gout.
Superlative form of 'gouty,' using the standard English suffix '-est' for superlatives. Follows the typical pattern of adjectives derived from medical conditions.
The superlative 'goutiest' is wonderfully specific—it's the kind of word a medieval nobleman with severe gout might have used to describe his condition while complaining about his lifestyle of rich food and wine causing his joints to fail.
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