Cryptic crossword clue
A trick by Scotsman against medic is harsh

The most common and most likely answer to this crossword clue is the 9 letter word DRACONIAN

I've seen this crossword clue in Independent
D
R
A
C
O
N
I
A
N


Buddy explains!

The straight part
We know that "harsh" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case harsh = draconian.
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.

What does DRACONIAN mean?

DRACONIAN adjective
  1. Very severe or strict.
DRACONIAN adjective
  1. (except in fiction) Of or resembling a dragon.

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