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I'm right on the edge of being able to use ventless. They don't work well over 4,500 and probably not at all over 6,000 feet, because of the oxygen sensors. So, simply being over 6,000 feet means your lungs are getting less oxygen than in a room heated by these. So, I figure they are safe. I'm mostly attracted to the fact that all you need is a gas line and an outlet. Very clean and easy install. I'm starting from scratch by the way, building a tiny house out in the boonies, so propane is kind of my only option other than wood.