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In direct confrontation or conflict at close quarters: The two brothers went at it head-to-head. It was a head-to-head contest all the way.
(adverb)
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Arranged in a line with the heads adjacent to each other: The bunk beds were set up head-to-head.
(adverb)
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Running close together in the same direction; neck and neck: The horses ran mostly head-to-head.
(adverb)
American Heritage(R) Dictionary of the English Language, Fifth Edition. Copyright (c) 2011 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved.