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Alternative clues for the word bitterpill

• Hard-to-accept consequence
• Hard-to-accept result, figuratively
• Hard-to-accept situation
• What the reality of the oil spill has been, so to speak, for BP
• Hard thing to swallow
• Hard thing to accept
• Distasteful dose
• Hard-to-accept consequence, metaphorically
• Difficult thing to swallow, figuratively