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The main conflict is internal - the narrator vs. his own deteriorating mind. The fact that he does commit the murder, based on nothing but an adverse opinion of the man's eye, and that he then hears the beating of the heart coming through the floor creates the rising action and suspense.

that the tell tale heart internal conflict

Here is the external conflict

The external conflict of the story is the narrator's conflict with the old man. The old man remains seemingly unaware of the narrator's evil machinations and plans to murder him, and the narrator sneaks into his room each night to watch him. Then the narrator pretends nothing is wrong the following day.

Explanation:

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