bridges toll, bells toll
toll as death toll totals climb
along life’s tollway
A charge payable for permission to use a particular bridge or road.
And the number of deaths, casualties, or injuries arising from particular circumstances, such as a natural disaster, conflict, or accident.
Or the sound or cause to sound with a slow, uniform succession of strokes, as a signal or announcement.
As well as taking a toll.
Or, have an adverse effect, especially so as to cause damage, suffering, or death
Such a sad word.
Too many applications.
Heard too often.