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Generally starting pitchers don't pitch two nights in a row because the act of starting a game and pitching a standard amount of innings (5-8) is extremely taxing on the arm. Pitching two nights in a row for a starting pitcher can be very dangerous for their arm, and if they did start two nights in a row, they would most likely be ineffective in the second game. That said, relief pitchers can pitch two games in a row, although pitching more than two games in a row is also very hard on their arm. Relief pitchers throw fewer innings than starting pitchers, and their arms are used to pitching more frequently.

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