Approximate symmetries abound in Nature. If these symmetries are also spontaneously broken in the groundstate, the would-be Goldstone modes acquire a small mass, or inverse correlation length, and are referred to as pseudo-Goldstones. At nonzero temperature, the effects of dissipation can be captured by hydrodynamics at sufficiently long scales compared to the local equilibrium. Here we show that in the limit of weak explicit breaking, locality of hydrodynamics implies that the damping of pseudo-Goldstones is completely determined by their mass and diffusive transport coefficients. We present many applications: superfluids, QCD in the chiral limit, Wigner crystal and density wave phases in the presence of an external magnetic field or not, nematic phases and (anti-)ferromagnets. For electronic density wave phases, pseudo-Goldstone damping generates a contribution to the resistivity independent of the strength of disorder, which can have a linear temperature dependence provided the associated diffusivity saturates a bound. This is reminiscent of the phenomenology of strange metal high Tc superconductors, where charge density waves are observed across the phase diagram.