“Does this computer come with Windows 10 included? Is it pre-installed? Are there other recommended basic accessories?”
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Yes, it comes with Windows 10 already installed. A good anti-virus program is always a good choice. Depending on what you're going to do with it, you may need a copy of Microsoft 365, which will give you Word, Excel, and other programs. If you don't already have one you might also want to look at getting a printer.
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