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What if, during his duel with Nicomedes or some other event after his conquest of the roman vassal states? Rome was busy with the Social War and wouldn't be able to help her clients for awhile.
Maybe if he dies someone else could take the thrown and at least get a generation of consolidation before Rome begins its inevitable war against them (they went to war against just about any powerful state they knew of)
i'm just getting into ancient history and alt history discussions are the easiest way i've found to learn more.