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What does off the rails mean?

Looking for the meaning or definition of the word off the rails? Here's what it means.

Prepositional phrase
  1. (idiomatic) In an abnormal manner, especially in a manner that causes damage or malfunctioning
  2. (idiomatic) Insane.
  3. (idiomatic) Off the intended path.
  4. (idiomatic) Out of control.
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