Prepositions after verbs

Afflict with or afflict by?

Afflict is usually used with with in active sentences and by in passive descriptions of a cause or agent.

Quick answer

Which preposition is used with afflict?

Use afflict with when stating the problem or condition that affects someone or something. In passive structures, afflicted by often introduces the cause or source of suffering. Afflict by is not a normal active pattern.

The region was afflicted by severe drought.
The disease afflicted with recurring fever symptoms many patients.
Many patients were afflicted with chronic pain.

Choose the pattern by meaning

These forms are not interchangeable. Choose the construction by meaning, not by which preposition appears most often.

1
afflict with + illness/problem

Naming the condition that causes suffering

Use afflict with to state the illness, difficulty, or condition affecting someone or something.

The parasite can afflict with severe skin irritation.
Entire communities were afflicted with food shortages.
2
afflicted by + cause/agent

Showing what causes the suffering

Use afflicted by in passive clauses to identify the force, event, or situation responsible for the problem.

The coast was afflicted by violent storms.
He felt afflicted by constant anxiety.
3
be afflicted with + condition

Describing a person's condition

Be afflicted with is common in formal English when talking about disease, pain, or hardship.

She was afflicted with arthritis for years.
The crop became afflicted with a fungal infection.

See the difference in context

The same subject can take different constructions because each sentence answers a different question.

Construction
Example
Meaning
afflict with
The illness afflicted the village with repeated fevers.
An active pattern introducing the condition or harmful effect.
afflicted by
The village was afflicted by malaria.
A passive pattern focusing on the cause or source of suffering.
afflict by
The storm afflicted by heavy rain.
Nonstandard as a direct verb-preposition pattern. Use afflicted by in passive form or afflict with in active form.
afflicted with
He was afflicted with severe migraines.
A common passive pattern describing a condition someone has.

Common mistakes

Some combinations appear in real text but do not mean what learners often assume.

Using afflict by in an active clause

Afflict by is not normally used directly after the verb in active voice.

✕ The disease afflicted by weakness many patients. ✓ The disease afflicted many patients with weakness.

Confusing the cause and the condition

Use with for the condition and by for the external cause in passive structures.

✕ The town was afflicted with the earthquake. ✓ The town was afflicted by the earthquake.

Omitting the object after afflict

Afflict usually needs an object showing who or what suffers.

✕ The drought afflicted with hunger. ✓ The drought afflicted the region with hunger.

Quick practice

Choose the expression that matches the intended meaning.

1. The island was afflicted ___ repeated floods.
2. The condition afflicted many workers ___ breathing problems.
3. She has long been afflicted ___ chronic fatigue.

Check your sentence in context

Paste the complete sentence below. Linguix checks the preposition together with grammar, spelling, punctuation, and style.

Free to try · No signup required

Frequently asked questions

Is afflict with formal English?

Yes. Afflict with is more common in formal, literary, or medical contexts.

Can I say afflicted by stress?

Yes. Afflicted by stress is natural because stress is presented as the cause of suffering.

What is the difference between afflicted with and suffering from?

Afflicted with is more formal and often more serious in tone. Suffering from is more common in everyday English.

Write with confidence in Linguix

Create a free account to check complete texts, apply suggestions, and save your documents.

Create a free account