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From a conflation of a derivation of Old Englishgǣstan(“to torment, frighten”) with the suffix -lic, and ghostly (which was also spelt "gastlich" in Middle English). Equivalent to ghast/gast + -ly. Spelling with 'gh' developed 16th century due to the conflation.
"My men grow mutinous day by day; / My men grow ghastly wan and weak." / The stout mate thought of home; a spray / Of salt wave washed his swarthy cheek.
They gathered soberly in the farthest recess of the ward and gossiped about him in malicious, offended undertones, rebelling against his presence as a ghastly imposition and resenting him malevolently for the nauseating truth of which he was bright reminder.
1667, John Milton, “Book VI”, in Paradise Lost., London: [Samuel Simmons], and are to be sold by Peter Parker; nd by Robert Boulter; nd Matthias Walker,, →OCLC; republished as Paradise Lost in Ten Books:, London: Basil Montagu Pickering, 1873, →OCLC:
Mangled with ghastly wounds through plate and mail.
They burned the old gun that used to stand in the dark corner up in the garret, close to the stuffed fox that always grinned so fiercely. Perhaps the reason why he seemed in such a ghastly rage was that he did not come by his death fairly. Otherwise his pelt would not have been so perfect. And why else was he put away up there out of sight?—and so magnificent a brush as he had too.