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What caused this camshaft wear pattern

Your lifters may not have been rotating. The cam will partially rotate a lifter with every stroke. This must happen or you will get cam wear. Check lifters in the bores and see if there were any burrs or issues there. Without a cam in the block, they should just glide right through the bore and out the other side. The lifter bores in an engine are CRITICAL to making sure a flat tappet cam lives.
 
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