The phrase "came out top" typically refers to achieving success, winning, or emerging as the best among a group of competitors. Some antonyms for this phrase include "fell short," "lost," "failed," "underperformed," "ranked last," and "was defeated." These antonyms denote a lack of success or inability to achieve the desired outcome. While coming out on top may be satisfying, experiencing failure or setbacks can also provide valuable lessons and opportunities for growth. It's important to remember that success is not always guaranteed, and it's how one bounces back from setbacks that truly defines their character.