The word "most strabismical" is a mouthful to pronounce and spell. Strabismical refers to the condition of having strabismus, or crossed eyes. The word is pronounced /strəˈbɪz mɪk əl/ (struh-BIZ-mik-uhl) with stress on the second syllable. The "i" in "strabismical" is pronounced as a short "uh" sound, and the "s" is pronounced with a "z" sound. The addition of "most" implies that this condition is the most severe or extreme. This unusual word highlights the importance of precise spelling, especially in fields like medicine where accuracy is crucial.