Usually means: Reach a critical, decisive point.
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We found 7 dictionaries that define the word come to a head:

General (5 matching dictionaries)
  1. come to a head: Oxford Learner's Dictionaries
  2. come to a head: Cambridge Advanced Learner's Dictionary
  3. come to a head: Wiktionary
  4. come to a head: Dictionary.com
  5. come to a head: Longman Dictionary of Contemporary English

Miscellaneous (2 matching dictionaries)
  1. AbbreviationZ (No longer online)
  2. come to a head: Idioms

Definitions from Wiktionary (come to a head)

verb:  (idiomatic) To rapidly reach a turning point or climax.
verb:  (idiomatic) To suddenly reveal itself, having lain latent for a time.
verb:  (idiomatic) To suddenly become mature or perfected, having been inchoate or imperfectly formed.
verb:  (medicine, of an abscess) To reach its final stage.

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