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The Grandfathers are the oldest and most powerful vampires in existence. According to Father Callahan's scale, the Grandfathers are Type One vampires, meaning they can create new vampires and live almost indefinitely.

A group of the Grandfathers were at the Dixie Pig to celebrate the birth of Mordred Deschain. They were part of the attack that led to Callahan's death.

The Cam Tam, or Grandfather Fleas, are associated with the Grandfathers. They seem to follow the Grandfathers and feed from the bodies left in their wake.

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