The two you will use most
utmost = the greatest possible: "with the utmost care", "of the utmost importance". foremost = the leading one, first in importance: "first and foremost", "a foremost expert".

Suffix · forms superlative adjectives
Forms position superlatives: innermost, topmost, and with compass points: northernmost, southernmost. Utmost (the greatest possible) and foremost (the leading one) are the two you will use most.
Written by Bryan López, English teacher · Updated
utmost = the greatest possible: "with the utmost care", "of the utmost importance". foremost = the leading one, first in importance: "first and foremost", "a foremost expert".
innermost, outermost, topmost, uppermost (most important/priority). And with all four compass directions: northernmost, southernmost, easternmost, westernmost, this pattern is fairly predictable.
Position adverb or adjective + most. Already includes the superlative, never combine it with "the most".
-most/moʊst/ · rhymes with coast
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"utmost care" = the greatest possible care. "the ultimate challenge" = the defining challenge. Both formal, different meanings.
"a foremost expert" = the leading expert. "first and foremost" = above all, first of all.
Same with outermost, topmost, foremost: they already mean "the most ___", combining with "the most" is redundant.
A trick to remember it
"Utmost" comes from "utter" (extreme) + most = "the most extreme possible". "Foremost" comes from "fore" (in front, as in "before") + most = "the furthest to the front". Think of "most" as attaching the superlative directly to the root, no separate "the most" needed.
Exercise 1 · Form the word
Exercise 2 · Pick the right one
"First and foremost" means...
Exercise 3 · Pick the right one
What is the difference between utmost and uttermost?
The suffix -most forms position superlatives: innermost, topmost, and with compass points: northernmost, southernmost. Utmost (the greatest possible) and foremost (the leading one) are the two you will use most. In Spanish it usually maps to the most / extreme.
The ending -most is pronounced /moʊst/ · rhymes with coast. For example, "utmost".
"utter (extreme)" becomes "utmost". It is a typical example of the -most suffix.
From Latin "-ax/-acis": means "full of" or "having the quality of" to a high degree. Tenacious, audacious, malicious, delicious.
From Latin "-itudo": forms abstract nouns of state or quality. Solitude, gratitude, magnitude, fortitude.
Turns a direction word into a direction adverb/adjective: inward, outward, forward. Works with almost any direction word, it is productive.
-tion, -ness, -ful, -ly, -able... every ending you need to understand thousands of words at once.