Keel over is a phrase that means to collapse suddenly, typically from exhaustion, illness, or injury. However, there are many synonyms that can be used in its place. Some common synonyms include topple, collapse, faint, swoon, and fall. Other synonyms for keel over include pass out, black out, crumple, tumble, slump, drop, and succumb. These words are often used to describe sudden and unexpected events that result in a person or object losing its balance and falling. Regardless of the specific synonym used, all convey the idea of a sudden and unexpected collapse or fall.