bless their heart

Related

honey · darling · sympathetic · backhanded · naive · patronizing · sugar · well-meaning · simple · clueless · polite · shade · insult · drawl · genteel · kindly · poor thing · church

Opposites
sincerity of sentiment

bless their heartsincerely

With genuine feeling

with all due respect

social evaluation

bless their heartsharp as a tack

Extremely intelligent and alert

Familiarity
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