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I've been thinking of the possibilities of a Glock 26 w/ a shorty suppressor in a shoulder holster. Perhaps not as short as the Maxim, but more flexible and better aftermarket.
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Flexibility and all of the issues that are a result is why the Maxim was built. It is my uneducated assumption that most of the initial adopters of the Maxim already own traditional pistol setups and can fully understand the benefits of a dedicated platform. I was lucky enough to be able to shoot a prototype prior to purchase but most Maxim owners have never even held one, much less fired one.
I have four traditionally suppressed pistols that run great and sound great while doing range activities. I've used one of them in a charity 3 gun with success but there were no holster draw stations due to being an amateur style charity function. Where the traditional setups are severely lacking is use in the field (hunting and outdoors activities for me, not law enforcement). It can certainly be done but even short cans seem long, there are no normal holsters, and you end up feeling like you are carrying something not meant to be carried. That all changes when you pick up the Maxim.
As far as aftermarket goes, the Maxim uses Glock sights and magazines, and is pre-milled for a red dot sight. Other than the trigger/striker components, I'm not sure what else could be replaced or modified by the aftermarket. There was talk from a few owners at the Maxim event that Capitol Armory and SilencerCo held about chopping the grip to G19 length and running it in the short configuration for an even more compact package. At the event, I wasn't surprised to learn more than a few people had purchased two Maxim 9s. If a Maxim 45 is introduced, I'm going to be like them and will purchase two.