Sorry, no online dictionaries contain the exact phrase ramifications of a decision.
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Reverse dictionary results:
1. consequences
 2. repercussions
3. outcomes
4. effects
5. implications
6. effect
7. presence
8. experience
9. met
10. progressive
 11. progressor
12. affect
13. appear
14. bring forward
15. facilitate
16. further
17. furtherance
18. means-test
19. meet
20. occur
 21. promote
22. prompt
23. propose
24. put before
25. put forth
26. resultance
27. see
28. show
29. trot out
30. advancer
 31. appearer
32. assay
33. assaying
34. avail
35. display
36. do
37. exact
38. exhibit
39. forward
40. fynde

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You can look up the words in the phrase individually using these links:   ramifications ?   of ?   a ?   decision ?
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