Also means
most
Usage Note
höchst means highly or extremely before adjectives, as in höchst interessant. It is somewhat formal and bookish, stronger than sehr, and not to be confused with the temporal höchstens (at most).
Examples
"Das ist eine höchst bedenkliche Entwicklung."
Natural Translation
That is a highly worrying development.
Literal Translation
That is a highly worrying development.

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