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with knobs on!

listen to the pronunciation of with knobs on!
English - English
Extremely; in a similar way, but taken to an extreme

The door opened a foot. Parker squinted out, looking like death on a Popsicle stick. With knobs on.

Embellished

And although starting to talk about problem drug takers and demedicalization, when it came to talking about services, it fell back on the old medically dominated system, what Roger Lewis described as 'clinics with knobs on'.