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Start in a slot, work up a flared crack. Thrutch as the crack widens. Finish up a hand crack.
Find the giant block that forms a ledge at the bottom of 19 Nervous Breakdown
and Narrow and Ugly
. Go to the far right side of the giant block and scramble up the gully behind the block. Existential Dilemma starts in a slot toward the top of the gully.
Standard rack plus big gear. I found a #6 Camalot helpful.