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In late May in 1806, Charles Dickinson and Andrew Jackson meet in Kentucky, along with their seconds and some locals, ready to duel. Jackson, knowing that Dickinson was a very skilled shooter, determined that his best strategy would be to let Dickinson fire first, and hope that he'd fire too quickly to aim. However, in this timeline, this decision doesn't pay off, and Dickinson fires a shot that punctures his lung, in addition to an artery. Jackson fires back, but shoots a bit below the chest, causing some internal issues but nothing immediate. Jackson would die two days later from bleeding, and Dickinson would survive.