Took its toll is a phrase used to describe the negative impact or consequences of a certain event, situation, or circumstance. There are several synonyms for the phrase, including "had an impact on," "affected," "harmed," "damaged," "impacted," "burdened," "strained," and "weakened." These words can all be used to express the same idea as took its toll, but with slightly different connotations or nuances. Some may suggest a more direct or immediate impact, while others may imply a longer-term or delayed effect. Nevertheless, all synonyms convey the idea that something has had a negative effect on a person or situation.