Cryptic crossword clue
King in grip of old injury returning went off the rails 5

The most common and most likely answer to this crossword clue is the 5 letter word ERRED

E
R
R
E
D


Buddy explains!

The straight part
We know that "went off the rails" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case went off the rails = erred.
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 ERRED mean?

ERRED verb
  1. To make a mistake.
  2. To sin.
  3. To stray.
ERRED verb
  1. To utter the word "er" when hesitating in speech, found in the phrase um and er.

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