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Some tensions are paradoxes, which are persistent contradictions in which both sides matter. Drawing on a qualitative case study of MarketCorp, a multinational marketplace company, we explore how paradoxes manifest in a large-scale agile context and how leaders respond. Interviews with 15 top managers and reflective conversations with 60 employees reveal three paradoxes: centralization vs. autonomy, internal vs. external focus, and product vs. project approaches. We explored two approaches for designing facilitated dialogue around paradoxes in leadership teams. 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