'deliberately-altered' originates from the English words 'deliberate' and 'alter,' where 'deliberate' meant 'done consciously and intentionally' and 'alter' meant 'to change or modify.'

'deliberate' and 'alter' combined in modern English to form the compound adjective 'deliberately-altered.'

Initially, 'deliberate' meant 'carefully weighed or considered,' and 'alter' meant 'to change.' Over time, they combined to emphasize intentional modification.