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These policy failures, and the stalemate that ensued after the Soviet intervention, led the Soviet leadership to become highly critical of Karmal's leadership.
Under Mikhail Gorbachev, the Soviet Union was able to depose Karmal and replace him with Mohammad Najibullah.
Following his loss of power, he was exiled to Moscow.
He was allowed to return to Afghanistan in 1991 by the Najibullah government for unknown reasons.
Back in Afghanistan he helped topple the Najibullah government, and he became an associate of Abdul Rashid Dostum, one of the men who brought down the communist government.
Not long after, in 1996, Karmal died from liver cancer.

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