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Simplified etymology
Pell-mell is a late Middle English rhyming expression whose second element represents a form of French mesler, “to mix,” related to medley. The first element may come from pelle, “shovel,” suggesting things mixed together with a shovel, though it may simply have been chosen for the rhyme.
Etymology
Borrowed from French pele-mele, from Old French pesle-mesle, a rhyming expression built around mesler, "to mix or meddle." The related English words melee and meddle reflect the same historical family of mixing and confusion.