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It pays here to look at a map of how small an average principality would be in medieval times versus how large Alexander's empire was.

The population densities were, it should be noted, not that different in the two periods. It was not until the mid-1700s that we started to see sustained significant improvements in the carrying capacity of the land thanks to agricultural improvements in England. Until then the carrying capacity would vary, higher during a warm period in the 1200s, falling significantly when things cooled down again in the 1300s.

See http://en.wikipedia.org/wiki/Great_Famine_of_1315%E2%80%9313... to get a sense of how much worse life was in the 1300s than the 1200s.



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