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Genesis 41:19
ESV Seven other cows came up after them, poor and very ugly and thin, such as I had never seen in all the land of Egypt.
NIV After them, seven other cows came up--scrawny and very ugly and lean. I had never seen such ugly cows in all the land of Egypt.
NASB Then behold, seven other cows came up after them, poor and very ugly and thin, such as I had never seen for ugliness in all the land of Egypt;
CSB After them, seven other cows--weak, very sickly, and thin--came up. I've never seen such sickly ones as these in all the land of Egypt.
NLT But then I saw seven sick-looking cows, scrawny and thin, come up after them. I’ve never seen such sorry-looking animals in all the land of Egypt.
KJV And, behold, seven other kine came up after them, poor and very ill favoured and leanfleshed, such as I never saw in all the land of Egypt for badness:

What does Genesis 41:19 mean?

This chapter began with a description of two disturbing dreams which came to Pharaoh, the ruler of Egypt (Genesis 41:1–7). When his advisors could not explain these, Pharaoh learned about Joseph's interpreting ability (Genesis 41:8–13). Joseph was quickly summoned and began listening to the dreams (Genesis 41:14–18). The description given here continues to repeat the earlier account. Pharaoh saw seven healthy, fat, good-looking cows come out of the river to feed along the bank.

Now he describes seeing seven more cows emerge from the Nile. These, though, were more ugly, thin, and underfed than he had ever seen in Egypt in his waking life. The terms used describe these animals as "weak," "evil-looking," and "thin of flesh." In fact, Pharaoh says these are the worst-looking cows he has ever seen. He repeats the root word used for "ugliness," which can also refer to evil or atrocity. This adds detail not found in the first account of the dream.

Pharaoh will continue, explaining how the healthy cows were eaten by the sickly ones (Genesis 41:20–21).
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