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safe1678091 artist:anticular537 tempest shadow16611 twilight sparkle296899 alicorn218999 pony940522 unicorn311681 my little pony: the movie18791 book32870 broken horn13679 clothes449424 encouragement88 glowing horn19089 horn62281 magic71834 orange background768 simple background384106 telekinesis27089 wholesome431


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The age of the injury shouldn't make a difference with respect to attaching a prosthesis (though it might for healing magic/alchemy). It'd be cool to have Tempest get one, come up againast some villain, and then dramatically yank the thing off to unleash her signature magic blasts.
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If humans can make cochlear implants and prosthetic limbs, magical ponies can make prosthetic horns. Though, if the injury is as old as Tempest's, there might not be much to salvage. Besides, she seems happy with her fireworks.
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If broken horns are common enough that somepony saw fit to write a book on coping with that, then there's definitely no excuse for there not to be a decent amount of prosthetics research going on:

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