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This paper presents a pedestrian head impact reconstruction methodology as an initial mitigating response to this need for pedestrian protection. This methodology which is based on preliminary testing results is illustrated with a real world case example from the Pedestrian Accident Investigation Data Support (PAIDS) Study. This PAIDS study provides documentation of medical reports, vehicle impact speeds, photographs and a dent profile of the vehicle damage. The pedestrian head impact damage from this real-world case is reproduced in a comparison vehicle with a rigid pneumatic impactor developed for the National Highway Traffic Safety Administration. The physical reconstruction results are then compared to the actual accident damage and conclusions are rendered.