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Difference between Like death and Like grim death

like death—(U.S. also: like death warmed over) feeling or looking very unwell or completely exhausted:

  • Much of the time I feel like death. I am in rather a bad temper.

like grim death—gripping smth. very firmly; clinging to smth. tenaciously:

  • By clinging like grim death to the gunwale, we just managed to keep inside the boat, but it was exhausting work.