Your question is not clear. "needs" followed by "must" can only happen when "needs" is a noun. '
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RaenHow does the grammar work here?Forget the grammar. This is a fixed expression from centuries ago, that is, at a time when it was grammatical. "needs must" or "must needs" just means "must", "have to", "has to".
CalifJimThis is a fixed expression from centuries ago, that is, at a time when it was grammatical. "needs must" or "must needs" just means "must", "have to", "has to".Does anyone still say that? I don't recall 'hearing' it currently and wouldn't recommend it to students.
canadian45Does anyone still say that?Not that I know of. I've seen it in writing on a rare occasion, but I don't believe I've ever heard anyone use it in a conversation.
Raenthat was the whole sentenceThen, depending on context, it means: