The most common and most likely answer to this crossword clue is the 10 letter word THROMBOSIS
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More clues leading to the result THROMBOSIS
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The straight part
We know that "a clottish thing (!)" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case a clottish thing (!) = thrombosis.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.
Crossword Answer definitions
THROMBOSIS noun- The formation of thrombi in the blood vessels of a living organism, causing obstruction of the circulation.