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This is a complex question:

The failure that caused the head gasket to fail MAY have done other damage But ... and there is always a BUTT

Some cars are prone to this failure and replacement of the gasket means it will never need to be done again with no other harm to the engine, (original Dodge Neon for example)

Other cars where the gasket fails and it means the car has been over heated and the engine is Damaged (8.2 liter Detroit Diesel is a good example)

So the only way to know is to run it and see.

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Q: Is a car engine in good condition when a head gasket is replaced?
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