Cryptic crossword clue
Extremely sick boy at last might be here, getting up 7

The most common and most likely answer to this crossword clue is the 7 letter word SKYWARD

I've seen this crossword clue in The Guardian
S
K
Y
W
A
R
D

Buddy explains!

The straight part
We know that "up" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case up = skyward.
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 SKYWARD mean?

SKYWARD adjective
  1. Pointing or facing at or moving toward the sky.
SKYWARD adverb
  1. At or toward the sky.

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