Usually means: Collapse suddenly from exhaustion, illness.
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We found 5 dictionaries that define the word to keel over:

General (5 matching dictionaries)
  1. to keel over: Wordnik
  2. To keel over: Dictionary.com
  3. TO KEEL OVER: Dictionary of Americanisms (1848)
  4. to keel over: FreeDictionary.org
  5. To keel over: TheFreeDictionary.com

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