I hunt with my 223 often by choice and shoot a lot of deer with it. Love the quietness of it and the added challenge. I tend not to muck around and just shoulder/ chest shoot deer with it. Includes good sized reds. Main thing is to poke the wee ball in to a vital spot internally where it will interrupt life. Heart lungs etc. I tend not to neck shoot many deer myself. The further down the neck the harder to hit the spine. The higher up the neck the easier it is to miss altogether. Funnily enough I do a lot of head shots too though. Not rocket science. I am a careful shot and don't push the range too far. Anything over 200m and you really need to do it right. I just use Hornady 55gn spire points at 3000fps out of my short barrel and they work fine. I will add however that most chest/ shoulder shot deer dash and die and I usually track them up to 50 odd metres. My wee dog is really handy as the one thing with 223s is that there is seldom much of a big blood trail. So use it within the calibre's and your limitations and you are fine. Just like everything. Probably no different to bow hunting really.
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