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We evaluated features of HIV transmission networks involving persons diagnosed during incident HIV infection (IHI) to assess network-based opportunities to curtail onward transmission. Transmission networks were constructed using partial sequences reported to North Carolina surveillance among persons with recent (2014-2018) and past (2014) HIV diagnoses. IHI were defined as documented acute infections or seroconversion. Demographic and virologic features of HIV genetic clusters (1.5% pairwise genetic distance) involving ≥1 IHI we