Related Clues:
- Achieved through great effort
- Achieved after much effort
- Gained after much work and effort
- Not easily achieved, took a lot of effort
- Now, doctor ... ah, flipping difficult to get
- Sort of victory for some who'd ran in difficulty
- Like a game ending in double overtime, say
- Cheer up, getting down to exercise? Not easily achieved
- Gained through effort
- Succeeded with toil and difficulty
- Answer being not easily got now had solver finally going mad
- Firm currently in recession secured by industry
- Presently on the up, supporting firm secured by industry
- Taxing and successful
- Accomplished with effort