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In 2006, country music trio Rascal Flatts released a cover of the song, "What Hurts the Most", originally recorded by country music artist Mark Willis. It serves as a single from their album Me and My Gang. Their version of the song is set in the key of F minor, with a vocal range of E♭3-C 5. The main chord pattern is Fm-D♭-A♭-E♭.
It became their fifth number-one single on the Billboard Hot Country Songs chart. It also peaked at number six on the all-genre Billboard Hot 100, becoming the band's first top 10 pop hit. In addition, the song reached number one on the Adult Contemporary charts. Rascal Flatts also performed the song live with Kelly Clarkson at the Academy of Country Music Awards in 2006.
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