醜い | Literally ‘hard to look at’... physically ugly. |
醜悪 | Hideous – more formal and more extreme than just みにくい. Also – unlike みにくい it’s more often used figuratively to mean ‘scandalous’: An ugly divorce, a scandalous rift between political factions. |
気色悪い | Ugly PLUS weird or uncanny: A slug. Also has the nuance of being contemptible BECAUSE ugly. |
おぞましい | Grisly or horrible crime or atrocity. |