Cryptic crossword clue
Grounded because of dodgy heart 4-2-5

The most common and most likely answer to this crossword clue is the 13 letter word DOWN-TO-EARTH

I've seen this crossword clue in The Times
D
O
W
N
-
T
O
-
E
A
R
T
H


Buddy explains!

The straight part
We know that "Grounded" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case grounded = down-to-earth.
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 DOWN-TO-EARTH mean?

DOWN-TO-EARTH adjective
  1. Practical; realistic; pragmatic.

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