Synonyms of all-important

2 Syllables
urgent, serious, vital, crucial
3 Syllables
important, critical, life-and-death, pivotal, paramount, earthshaking, essential, bottom-line, earth-shaking, meaningful
4 Syllables
significant, earthshattering, bottomline, necessary, consequential, determining, earth-shattering
5 Syllables
imperative, indispensable