Usually means: Deeply saddened or emotionally distressed.
Definitions Related words Mentions
We found 7 dictionaries that define the word sick at heart:

General (6 matching dictionaries)
  1. sick at heart: Longman Dictionary of Contemporary English
  2. sick at heart: Merriam-Webster
  3. sick at heart: Cambridge Advanced Learner's Dictionary
  4. sick at heart: Wiktionary

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

Definitions from Wiktionary (sick at heart)

adjective:  (idiomatic) Despairing, distressed, or anxious.

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