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Synonyms

in extremis

American  
[in eks-tre-mees, in ik-stree-mis] / ɪn ɛksˈtrɛ mis, ɪn ɪkˈstri mɪs /

adverb

Latin.
  1. in extremity.

  2. near death.


in extremis British  
/ ɪn ɪkˈstriːmɪs /

adverb

  1. in extremity; in dire straits

  2. at the point of death

"Collins English Dictionary — Complete & Unabridged" 2012 Digital Edition © William Collins Sons & Co. Ltd. 1979, 1986 © HarperCollins Publishers 1998, 2000, 2003, 2005, 2006, 2007, 2009, 2012

Etymology

Origin of in extremis

literally: in the furthest reaches

Example Sentences

Examples are provided to illustrate real-world usage of words in context. Any opinions expressed do not reflect the views of Dictionary.com.

Bond holdings are concentrated in domestic pension funds and life insurers, and in extremis the BoJ could resume buying itself.

From Barron's • Feb. 10, 2026

“Warning Signs” promises to be even more of a nail-biter than Sierra’s debut, a deepening of her examination of families in extremis, which should earn it a top spot in readers’ TBR list.

From Los Angeles Times • Jan. 30, 2026

"Obviously if someone is in extremis, is unwell, we need to treat them. We have a duty to do that," he said.

From BBC • Jan. 15, 2024

Realize that something was deeply wrong, that no patient should be in extremis like this?

From Slate • Aug. 7, 2023

Unfortunately, when he found himself in extremis at the board and called on his chess muse to save him, there was no answer.

From "Endgame" by Frank Brady

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