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The phrase "most important cause" is grammatically correct and commonly used in written English.
Example: "The most important cause of climate change is the burning of fossil fuels." This phrase can be used in any sentence where you want to emphasize that a particular cause is the most significant or influential. It can be used in both formal and informal writing.
Exact(60)
But the most important cause was sloppy liberalisation.
The most important cause was the weakness of campaign finance reform enacted earlier this year.
Probably the most important cause and result of the happiness is the company's sheer skill.
Globally, malnutrition is the most important cause of illness and death.
The single most important cause was mine leadership.
Reservoir heterogeneity is the most important cause of increased water production and decreased oil production.
Cancer is the most important cause of mortality in the world.
Nasal osteotomies are the most important cause of periorbital edema and ecchymosis.
Alcohol-related liver disease (ALD) remains the most important cause of death due to alcohol.
In recent studies, coronary artery disease (CAD) is accepted as the most important cause of CHF.
Human papillomavirus (HPV) is believed to be the most important cause of cervical cancer.
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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