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There are 44 twenty-letter words containing A, D, M, S and X

acetylhexosaminidaseAIDS-related␣complexesalarums␣and␣excursionsAlexander␣polynomialsaminoexotripeptidaseaugmented␣sixth␣chordsa␣week␣from␣next␣Tuesdaybenzylhydroxylaminescarboxamidoadenosinecarboxamidopeptidasecarboxyglutamic␣acidschondromyxosarcomatacoordinated␣complexescyclomaltodextrinasede␣minimis␣non␣curat␣lexdesacetoxywortmannindesmethylxanthohumoldihydroxytryptaminesdimethylpolysiloxane dimethyl␣polysiloxaneexhausted␣combinationhexamethyldisilanizehexamethyldisilazanehexamethyldisilizanehexamethyldisiloxanehydroxycinnamic␣acidshydroxymethylbilanesmanic␣pixie␣dream␣girlsmatrix␣decompositionsmetalloexopeptidasesmonocarboxypeptidasemonofixation␣syndromemonohexosylceramidesmonohydroxybenzoatesneed␣one's␣head␣examinedphenylhydroxylaminespolydimethylsiloxanepseudoapproximationsscimitar-horned␣oryxesselenium␣hexafluoridesulphamethoxydiazineuranium␣hexafluoridesvis␣medicatrix␣naturaexeroderma␣pigmentosum

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See this list for:

  • Scrabble in English: no word
  • French Wiktionary: 95 words
  • Spanish Wiktionary: 2 words
  • Italian Wiktionary: no word
  • German Wiktionary: 6 words
  • Portuguese Wiktionary: 1 word
  • Dutch Wiktionary: 32 words

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