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There are 42 twenty-letter words containing A, C, E, M, 2S and V

absolute␣comparativesaffirmative␣sentencesappendicovesicostomycanine␣distemper␣viruscardiovascular␣systemcentral␣nervous␣systemchaphamaparvovirusescommunicating␣vesselscomparative␣illusionscomparative␣linguistscool␣heads␣must␣prevailcostotransversectomyDamascene␣conversionsdance␣on␣someone's␣gravedelta-sigma␣convertersdepressive␣black␣metaldiscovery␣informaticsgave␣someone␣ass␣cancergave␣someone␣the␣creepsgive␣someone␣ass␣cancerinverse␣condemnationsinvestment␣consultantJamestown␣Canyon␣virusMaisonneuve␣fracturesmass␣extinction␣eventsMatiyasevich's␣theoremmechanosensitivitiesMieses-Kotrč␣Variationmultiplicative␣subsetovariohysterectomiespermissive-action␣linksecular␣progressivismsigma-delta␣converterssomatic␣nervous␣systemsupplementive␣clausestransvestic␣fetishismultracompetitivenessuniversal␣basic␣incomevestibulosympatheticVietnamese␣sandwichesviscosupplementationwater␣vascular␣systems

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