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. 2002 Jul 20;325(7356):160.

Table.

Thirteen different ways of pronouncing –ough

Pronunciation Example
English pronunciations
 Aw Bought, brought, fought, nought, ought, rought, sought, thought, wrought
Off Cough, trough
Oh Dough, furlough, though
Oo Brougham, through (also, in USA, slough)
Ow Bough, clough, doughty, drought, nought, plough, slough, sough
Uff chough, clough, enough, grough, rough, shough, slough, tough
Uh Borough, thorough (in USA these are pronounced “oh-roh,” but in England they are pronounced “uh-ruh,” giving an extra category)
Scottish and Irish pronunciations
Okh (as in loch) Brough (an alternative spelling of broch), dought, hough, lough, turlough
Ookh Sough, through-stane
Alternative pronunciations with -ough
Og, ok Shough (=shock), hough (=hock) (these arise because the English cannot pronounce “okh”; for example, for loch, they say “lock” instead of “lokh”)
Ug Oughly (=ugly, 17th century, used by Milton in Comus (1634) line 695)
Up Hiccough (misspelling; should be hiccup (see BMJ 1996;313:1326))