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The phrase "almost always require" is correct and usable in written English.
It can be used to indicate that something is typically necessary or needed in most situations, but not in every case.
Example: "These types of projects almost always require a significant amount of research and planning."
Alternatives: "usually need" or "generally demand".
Exact(46)
Landslides almost always require separate coverage.
Registration forms almost always require a statement affirming citizenship.
Parallel-group trials almost always require a multicentre approach, with the inevitable logistic problems involved.
For example, pneumonia and urinary tract infections almost always require antibiotic therapy.
Good thing their contracts almost always require the companies to pay.
Student loans from banks almost always require a credit-worthy co-signer, usually a parent.
Similar(14)
The healer is almost always required in a party because of its job requirements and needs in the game, so therefore, you'll need a secure member for it.
It is usually partial and almost always requires interpretation.
Success almost always requires putting yourself into new situations.
Exposure to an environmental carcinogen, such as cigarettes or sunlight, is almost always required.
Still, students pursuing vocational degrees are almost always required to take some liberal-arts courses.
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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