Well NP used helpers to get empty ore trains out of Duluth/Superior !! The tracks at Allouez WI are pretty close to water level, pretty steep climb to get out of the 'bowl' around the Twin Ports and get trains on level ground going towards the Cuyuna Range.
One factor about a rear pusher's location was what how the caboose was constructed. A car with a steel underframe could withstand the pushing of an engine behind it (even a woodsided caboose) so the engine could couple up right behind; an all-wood car would have to be cut in behind the pusher engine.
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