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1540s, "increased, magnified," past participle adjective from aggravate. Meaning "irritated" is from 1610s; that of "made worse" is from 1630s. The earlier adjective was simply aggravate (late 15c.).
1520s, "make heavy, burden down," from past participle adjective aggravate "burdened; threatened" (late 15c.), from Latin aggravatus, past participle of aggravare "to render more troublesome," literally "to make heavy" (see aggravation). Earlier in this sense was aggrege (late 14c.). Meaning "to make a bad thing worse" is from 1590s; that of "exasperate, annoy" is from 1610s.
To aggravate has properly only one meaning -- to make (an evil) worse or more serious. [Fowler]Related: Aggravated; aggravating. Phrase aggravating circumstances is recorded from 1790.