consequence result cause impact action aftereffect effectuate impression outcome effective induce change aftermath upshot response influence validity reason repercussion reverberation force issue burden essence gist do core because make act bummer efficacy effectiveness significance phenomenon meaning fallout happen wake accomplish effectivity affect implementation ineffective consequences factor extent example achieve produce event efficacious effectual offshoot notion mark image figure opinion appearance feeling law jurisprudence import signification carry offspring byproduct dent harvest wallop branch offset belief outgrowth product spillover symptom hap occur pass execute fulfil fulfill draw get precipitate hasten rush stimulate serve move materialization efficiency changes effects efficacity materialisation backwash backdate