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The adjective has one meaning:

Meaning #1: of a region of the United States generally including Ohio; Indiana; Illinois; Iowa; Missouri; Kansas; Nebraska; and sometimes Michigan; Wisconsin; Minnesota

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Dansk (Danish)
adj. - midtvestlig

Français (French)
adj. - du Middle-West

Deutsch (German)
adj. - des Mittleren Westens

Ελληνική (Greek)
adj. - κεντροδυτικός

Italiano (Italian)
del Midwest

Português (Portuguese)
adj. - relativo ao meio-oeste

Русский (Russian)
относящийся к Среднему Западу

Español (Spanish)
adj. - del mediooeste norteamericano

Svenska (Swedish)
adj. - från Mellanvästern

中文（简体） (Chinese (Simplified))
中西部的

中文（繁體） (Chinese (Traditional))
adj. - 中西部的

한국어 (Korean)
adj. - 중서부의

日本語 (Japanese)
adj. - 中西部の

עברית (Hebrew)
adj. - ‮של המערב התיכון (ארה"ב)‬

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