I am 6 feet tall, wear a 44L coat, and find the 10x12 plates are smaller than ideal for my physique. Larger folks would DEFINITELY need at least an 11x14 plate.
Thankfully, AMI has finally released a larger 11x14 size version of their SAPI3 compressed Dyneema plate. The one we tested weighed in at 4 lbs 5 oz.
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Keep in mind that compressed polyethelene armor like the SAPI3 stops all level III threats except M855 "greentip" and M855A1.
The image below shows a 10x12 plate on top of the new 11x14 SAPI3. The larger plate can definitely provide more protection for the aortic arch on bigger folks.
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