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It means that the berry, ability or whatever you have will be activated as soon as the HP is under its 25%. So if you have a berry that says: it restores the user's HP in a pinch, but may also cause confusion, it means it will restore the holders HP when its lower than 25% of its original HP. Hope this was useful :)
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Earn +20 ptsQ: In Pokemon pearl what does in a pinch mean?
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