The term 'It May Be Hard To Swallow' can be summarized by three crossword solutions: TALE (4 letters), PILL (4 letters), and Bitterpill (10 letters). A TALE is a story, often one that is passed down through generations. A PILL is a small, usually round, object that is taken orally to treat an illness or condition. A bitterpill is a metaphor for something that is difficult to accept or digest, such as bad news or a harsh truth.