Cryptic crossword clue
Old doctor entertained by fat Italian citizen 7

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

I've seen this crossword clue in The Daily Telegraph
L
O
M
B
A
R
D

Buddy explains!

The straight part
We know that "Italian citizen" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case italian citizen = lombard.
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 LOMBARD mean?

LOMBARD noun
  1. A Spanish cannon of the 16th century.

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