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In almost all cases, the starting pitcher has to last at least five innings and his team must a) be in the lead before a reliever throws a pitch, and b) maintain the lead for the rest of the game. For a reliever to get a win, it's the same minus the five-inning provision. Losses are different, since that is based on the runs for which the pitcher is "responsible" -- ones that reached base against him while he was in the game. As for the save, the pitcher must finish a game that the team wins and meet conditions, most pertaining to how close the margin is when he enters the game, outlined in the rule.

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Q: What determines the winning pitcher in a MLB game?
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