Is strep throat worse with or without tonsils?

Strep throat can be worse in individuals without tonsils because the tonsils play a role in the immune response, helping to trap bacteria and viruses. However, those without tonsils may experience fewer episodes of strep throat overall since the tonsils are often where the infection occurs. It's important to note that individual experiences can vary, and factors like overall health and immune function also play significant roles in the severity of the infection.