The most common and most likely answer to this crossword clue is the 5 plus 3 plus 4 letter word FIRST AND LAST
F
I
R
S
T
A
N
D
L
A
S
T
Buddy explains!
The straight part
We know that "altogether" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case altogether = first and last.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.