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I can't say say TOTO doesn't have the best flush. I can't say I've done one on a 10" or had to yet. I did put one in on a remodel. Call back not enough water in bowl or tank even #2 flush can't clean it. It had the the plastic blocks I had to mount to the floor. Don't remember a "horn". Seen much better from them. This thing was an Obama-nation.