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A role sometimes combined with that of Head of state - for example, in OTL, the US President; but in other cases a separate role. Where the head of state is a monarch the head of government is often the leader of the majority party or governing coalition in the Parliament or similar body. The title of the head of government in this case often indicates that the holder is the first minister - Primes inter Pares: thus Prime Minister, or Minister President, and the role may be combined with other offices.