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The phrase "almost interchangeable" is correct and usable in written English.
It can be used to describe two or more items, terms, or concepts that are very similar in meaning or function but may have slight differences.
Example: "In many contexts, the terms 'big' and 'large' are almost interchangeable."
Alternatives: "nearly synonymous" or "practically equivalent".
Exact(60)
They're almost interchangeable.
The protein is almost interchangeable.
For Mr. Trump, they are almost interchangeable.
In fact, in some shots they look almost interchangeable.
Lotter and Nissen: their sociopathic curricula vitae were so similar as to be almost interchangeable.
Dillinger's comrades, under their wide-brimmed hats, are almost interchangeable, so that their deaths feel perfunctory.
The three Democrats appear to be almost interchangeable in matters of issue and ideology.
For half a century, the iconography of summer and the bikini have been almost interchangeable.
One often bleeds into the other so comprehensively, they seem almost interchangeable.
The best came last in Friday's program, which opened with two almost interchangeable bits of choreography.
Serves me right for giving these two very different stories almost interchangeable names.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com