Both "scrawny" and "emaciated" describe someone or something that is thin or underweight, implying a lack of physical bulk or muscle. Both terms can have negative connotations regarding physical appearance.
"Scrawny" refers to being thin or bony, often used informally, and can describe someone who is thin but otherwise healthy. "Emaciated" describes extreme thinness due to severe malnutrition or illness; it suggests a serious medical condition. "Emaciated" is more severe in connotation than "scrawny". "Scrawny" can sometimes have a slightly playful or teasing tone, whereas "emaciated" is serious.
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