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The phrase "already made a dramatic" is correct and usable in written English.
It can be used when discussing a significant change or impact that has occurred prior to the current moment.
Example: "The team has already made a dramatic shift in their approach to project management, leading to improved efficiency."
Alternatives: "already created a significant" or "already caused a notable".
Exact(1)
At least a dozen targeted drugs have been approved since 1998 -- the most famous of which is Herceptin, which has already made a dramatic difference in treating both early as well as late stage breast cancer.
Similar(59)
For one thing, the DCTA demands a dramatic, pricey raise from a district that's already made a generous offer.
They have already made a start.
He'd already made a decision.
Our hosts had already made a campfire.
We have already made a start.
His arrest – after several months on the run – already appears to have made a dramatic difference to land clearance rates.
Then he made a dramatic announcement.
You've certainly made a dramatic impact.
These companies have made a dramatic move.
Phase transfer catalysis has made a dramatic impact.
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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