Usually means: Cause damage, exhaustion, or decline.
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We found 3 dictionaries that define the word take a toll:

General (2 matching dictionaries)
  1. take a toll: Merriam-Webster
  2. take a toll: Wiktionary

Miscellaneous (1 matching dictionary)
  1. take a toll: Idioms

Definitions from Wiktionary (Take a toll)

verb:  Alternative form of take its toll. [(idiomatic, often followed by on) To affect something, especially negatively; to damage or degrade; to cause harm or destruction.]

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