Might mean (unverified): Difficult, unpleasant fact to accept.
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We found 2 dictionaries that define the word bitter pill to swallow:

General (1 matching dictionary)
  1. bitter pill to swallow: Wiktionary

Miscellaneous (1 matching dictionary)
  1. bitter pill to swallow: Idioms

Definitions from Wiktionary (bitter pill to swallow)

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

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