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While the official language of Jamaica is English, native islanders typically speak in a regional patois, which is a combination of Spanish, English, and assorted African tongues.
Still, almost everyone on the island speaks a familiar form of English, so tourists have nothing to worry about. If you find yourself having a conversation with a local, and they are speaking in an unknown slang, just ask them to either repeat themselves or speak slower. Jamaicans will often have a good sense of humor about the situation.
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