Large-format tiles require heightened attention to installation standards compared to smaller tiles. A very high-quality subfloor is required, as even minor unevenness will result in "lippage," where one tile edge sits higher than the other. Installers must use large-format mortar designed to support the heavier tiles without sagging. Additionally, a mechanical leveling system is often used to ensure surface continuity. Complete back-buttering—applying mortar to both the substrate and the tile back—is necessary to ensure 95% contact.

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