Usually means: Absolutely unnecessary, completely unhelpful addition.
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We found 4 dictionaries that define the word needs like a hole in the head:

General (1 matching dictionary)
  1. needs like a hole in the head: TheFreeDictionary.com

Computing (1 matching dictionary)
  1. needs like a hole in the head: Encyclopedia

Medicine (1 matching dictionary)
  1. needs like a hole in the head: Medical dictionary

Miscellaneous (1 matching dictionary)
  1. needs like a hole in the head: Idioms



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