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Twisted billionaire sex predator Jeffrey Epstein forced one young woman to marry another to keep his sex target in the U.S.

NBC News reports that the sick hedge fund manager was so desperate for sex with one of the young women that he promised life-saving surgery to another of his sex slaves.

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Katlyn Doe claims Epstein blackmailed her when she was just 17 to have sex with him by promising to pay for expensive surgery.

And if she refused? No surgery.

Katlyn agreed to have sex with Epstein believing he would pay for her medical treatment, according to the lawsuit.

But the affidavit claims that in 2013 the fiendish financier had another request.

A woman who wasn’t an American citizen and was one of the wealthy financier’s top sex recruiters needed permanent U.S. residence to remain in the country.

So, Epstein told Katlyn Doe to marry the woman in New York — where same-sex marriages are legal.

According to NBC, Epstein had under his hand an army of “disciples” who facilitated his sexual antics with underage girls.