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How do airlines replace a pilot at the last minute if they're unable to fly?

I would like to know what decision do the commercial airline carriers take when there is emergency case of a pilot who cannot fly the plane because of personal emergency conditions?

Emergency conditions could be the pilot falling sick with a medical emergency, family member, close relative death etc.

The event has happened just a few hours before the final plane departure.

Does the co-pilot fly the plane in that case? Do the specific airline carriers always have pilots in reserve?

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