- a series of four related dramas, operas, novels, etc.
- a group of four dramas, three tragedies and one satyr play, performed consecutively at the festival of Dionysus in ancient Athens.
- a series of four related works, as in drama or opera
- (in ancient Greece) a group of four dramas, the first three tragic and the last satiric
- a group of four symptoms present in one disorder, esp Fallot's tetralogy
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