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Arnold Finnegar. Stefano gave him plastic surgery to look like Rafe so he could swap them and eventually kill Rafe.Didn't we also have an evil clone of Rafe when he was with Sami?
I think he somehow literally created the Marlena clones in a lab, not just took 4 women and gave them plastic surgery to look like Marlena. He did that later with Hattie Adams.
Lawrence Alamain had surgery done on a guy named Mitch to look like Bo (when Robert Kelker-Kelly played Bo).