Faint or fall down, physically or metaphorically
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Blue JayI don't agree that death is required.(Sorry—I deleted the post that demanded death.)
Anonymousit is not used in any other sense for fear of being misunderstood.Not at all. From AmE texts:
AnonymousThe phrase is so strongly associated with sudden collapse and death that it is not used in any other sense for fear of being misunderstood.This is news to me. I have never associated "keel over" with death. If death is involved, I fully expect to hear it explicitly, thus, He keeled over and died. (AmE)