Consider a Hamiltonian bounded from below. If there is no ground state, any state will not be the lowest energy state, which means that it could suffer a transition to a lower energy state. We can build a sequence of eigenstates with lower and lower energies, to see what happens near the bound.
If $B$ is the lower bound, for any given eigenstate associated to an energy $E_0$, there would be another eigenstate with energy $B < E_1 < E_0$ (otherwise, it would be the ground state). Following this construction, we can build a subsequence of Eigenvalues $E_0,E_1,...,E_k$ with associated eigenvectors and, for any number $N$, there will always be some eigenstate with energy
$$
| B - E_N | < \frac 1N
$$
which means that at some point, the eigenstates start to be more and more closer with each other in this sequence. Now, physically, we couldn't measure energy with arbitrarily precision, with means that at some point, we couldn't realize any experiment to differ $E_N$ from $B$. In this case, $B$ (or a very closer number), would be considered an approximate lower eigenvalue.
Now, the question is if the eigenstates $\Phi_k\rangle$ have the same property, i.e., if for $m,n>N$, we have
$$
|||\Phi_m\rangle - |\Phi_n\rangle ||^2 < f(N)
$$
For some bound $f(N)\rightarrow 0$ at large N. If this property doesn't hold, the system is transitioning between eigenstates with very similar energy, but very different states. It could be emerge as "degeneracy" of the "practical eigenvalue", some kind of degeneracy of the ground state.
If this property holds, for sufficient high $N$, we couldn't differentiate between different eigenstates, and we could say that the sequence converges for a non generate "practical ground state".
A bit more rigour
Actually, what we showed is that we can build a sequence of eigenvalues with associated eigenvectors $\{E_k\}$ that is decreasing by construction and bounded by below. So it is convergent. The question is if the associtated eigenvectors also converges. Now, it can happen that
- The eigenvectors does not converge
- The eigenvectors coverge in an unphysical state
If they don't converge, there's nothing we can conclude mathematically. The second is the best situation, because if it converge to an unphysical state, it would be at least arbitrarily close to physical ones. Now, for the first possibility, we could only say that there is a sufficient condition to not have it.
Eigenstates associated with arbitrarily close eigenvalues are arbitrarily close of each other
This assumption is highly assumed in perturbation theory, but I think it could not be proved for all systems. If it holds, we can say that the sequence of eigenvectors above always converge.
In conclusion, it seems that despite mathematically possible, a bounded Hamiltonian without ground state assumes arbitrary precision for measuring energies and to distinguish eigenstates, something that we couldn't achieve in practice. Any configuration like that would imply in a bounded sequence of eigenvalues and eigenvectors that, for sufficient high terms, we couldn't distinguish anymore and we could say that "converges" for some ground state