Sounds like they are more than okay. Much, much, more than okay...
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That is straight insanity.
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I was going to say I could almost see how it could happen since I'm at around level 30 and probably haven't played nearly as much as I could have. But that is quite ridiculous. There's got to be some kind of trick to doing that that fast. Plus, I'm sure that person takes breaks for jumping jacks so they should be fine.
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Well one obvious answer is they probably have multiple people playing the same account, so it's always active. The other possibility I guess is that they saved a metric -blam!- ton of bounties pre-season? But even with both of those, that is total insanity. Physical health is one thing, but mentally that is actually insane to do.
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If they did nothing but bounties and played like altars of sorrow the entire time... maybe I could see it. But you're right its probably multiple people or maybe just someone who obviously decided they wanted to have close to the highest season pass rank. Some people strategize the most off the wall things in this game. Even with multiple people though, I'd still like to know what it is they did to get it that high.