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A 50BMG will automatically kill a person, regardless of where they are hit.
Through personal and anecdotal evidence I haven't seen anything to disprove this. I guess if you were hit in the pinky it would be survivable, but I have never seen or heard of anyone surviving a .50 BMG hit, even to the extremities.
I'm sure there is an example out there, I'd be interested in seeing it.
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