Usually means: Unpleasant but necessary to accept.
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We found 8 dictionaries that define the word bitter pill:

General (7 matching dictionaries)
  1. bitter pill: Merriam-Webster
  2. bitter pill: Wiktionary
  3. bitter pill: Infoplease Dictionary
  4. bitter pill: Dictionary.com
  5. Bitter Pill (Siobhan Fahey song), Bitter Pill (album), The Bitter Pill (Warrant song): Wikipedia, the Free Encyclopedia

Slang (1 matching dictionary)
  1. bitter pill: Urban Dictionary

Definitions from Wiktionary (bitter pill)

noun:  Used other than figuratively or idiomatically: see bitter, pill.
noun:  (figurative) Ellipsis of bitter pill to swallow. [(figurative) Something unpleasant that must be accepted or endured.]

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