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The phrase "almost always have" is correct and usable in written English.
It can be used to indicate that something occurs frequently but not universally.
Example: "Cats almost always have a playful nature, especially when they are young."
Alternatives: "tend to have" or "usually possess".
Exact(60)
Always With Her: I almost always have dice in my purse.
They almost always have crewcuts.
"They almost always have multiple co-infections.
According to the research, open relationships almost always have rules.
Detection-dog stories almost always have happy endings.
"For example, rusticos almost always have small windows.
And they almost always have folky, well-turned melodies.
New headteachers almost always have experience as deputies first.
These almost always have to be handled with care.
Obama speeches almost always have the same narrative arc.
Shorter-term bonds almost always have lower interest rates than longer-term bonds.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com