The most common and most likely answer to this crossword clue is the 10 letter word TERMINALLY
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Buddy explains!
The straight part
We know that "Ultimately" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case ultimately = terminally.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 TERMINALLY mean?
TERMINALLY adverb- In a terminal manner.
- Leading to death; lasting until death.
- (of missile guidance) To the target.
- (location) At the end.