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Answer for the clue "An image vivid enough to be a hallucination but recognized as unreal ", 19 letters:
pseudohallucination

Word definitions for pseudohallucination in dictionaries

Wikipedia Word definitions in Wikipedia
A pseudohallucination is an involuntary sensory experience vivid enough to be regarded as a hallucination , but recognised by the patient not to be the result of external stimuli. Unlike normal hallucination, which occurs when one sees, hears, smells, tastes ...

Wiktionary Word definitions in Wiktionary
n. A brief but vivid visual or auditory experience that is recognised as being unreal

WordNet Word definitions in WordNet
n. an image vivid enough to be a hallucination but recognized as unreal