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The phrase "create a dilemma" is correct and can be used in written English.
It means to cause a difficult situation or problem for someone to solve. Example: The CEO's decision to lay off half the employees created a dilemma for the HR department, as they had to choose who to let go based on performance evaluations.
Exact(20)
This does create a dilemma.
But expansion can create a dilemma.
A first round win for Mr Kenyatta would create a dilemma for Western governments due to his indictment by the ICC.
When they write a script they do it one page at a time – each must create a dilemma that the other has to solve.
Burnett, the Packard grandson, said those financial realities create a dilemma for an ardent advocate of a free market advocate: "What can she say?
Although the Calman Commission report was given a broad welcome by Labour, the Tories and Liberal Democrats in June, the Government's move could create a dilemma for an incoming Tory government.
Similar(40)
This created a dilemma.
And this creates a dilemma.
That created a dilemma.
This creates a dilemma for executives.
MacMillan's request created a dilemma.
More suggestions(18)
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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