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"ultimate cause of" is correct and usable in written English
You can use it to refer to the underlying, fundamental cause of something. For example: "The ultimate cause of the car accident was distracted driving."
Exact(59)
But, really, the ultimate cause of death was misperceived risk".
What was the ultimate cause of the financial crisis?
"I can't handle this!" The ultimate cause of stress is feeling unable to cope.
Some believe that the consciousness of living things is the ultimate cause of this transition.
The ultimate cause of death, which does not come quickly, is asphyxiation.
The ultimate cause of intoxication has yet to be glimpsed by even the fieriest imagination.
Could it be that unaffordable health care is the ultimate cause of the recession?
What our research doesn't show is the ultimate cause of these trends.
Mr. Bush said in the debate last week that the ultimate cause of the shortage was manufacturers' fears of lawsuits.
Ministers picked a poor time to fail.The ultimate cause of failure only deepens the sense of puzzlement.
He said: "Palestinians persistently will not commit to recognise the Jewish state and this was the ultimate cause of the conflict.
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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