Usually by accident.
What generally happens is that the people selling the drugs don’t use dedicated tools/tables for fentanyl and some fentanyl residue gets on the other drugs when they’re sorting/weighing it or whatever.
This wouldn’t be an issue if it weren’t for how ridiculously potent fentanyl is. A small amount of residue/dust can be enough to kill someone, so if the dealer weighs out some fentanyl then some cocaine, then unless they did a deep clean in between you now have cocaine with a potentially lethal dose of fentanyl in it.
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