Usually means: Essentially, in one's inner nature.
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We found 17 dictionaries that define the word at heart:

General (15 matching dictionaries)
  1. at heart: Merriam-Webster
  2. at heart: Oxford Learner's Dictionaries
  3. at heart: Collins English Dictionary
  4. at heart: Vocabulary.com
  5. at heart: Wordnik
  6. at heart: Wiktionary
  7. At heart, at heart: Dictionary.com
  8. At Heart: Wikipedia, the Free Encyclopedia
  9. at heart: Rhymezone
  10. at heart: FreeDictionary.org
  11. at heart: Mnemonic Dictionary
  12. at heart: TheFreeDictionary.com
  13. at heart: Longman Dictionary of Contemporary English

Medicine (1 matching dictionary)
  1. at heart: Merriam-Webster Medical Dictionary

Miscellaneous (1 matching dictionary)
  1. at heart: Idioms

Definitions from Wikipedia (At Heart)

noun:  the third studio album by American metalcore band Miss May I.


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