Full details of sample preparations, measurements, data analyses, and simulations are given in SI Appendix. Briefly, second-generation Aβ42 fibrils were grown from synthetic or recombinant peptide, using sonicated first-generation brain-seeded fibrils described by Qiang et al. (5 (link)) as seeds. TEM and AFM images were obtained as previously described (5 (link), 24 (link)). Cryo-EM grids were screened with a Thermo Fisher Glacios microscope. Final images were obtained with a Thermo Fisher Titan Krios microscope. Cryo-EM images were processed and density maps were reconstructed with RELION software (18 (link), 24 (link)). ssNMR data were obtained at 14.1 T and 17.5 T, using Tecmag Redstone spectrometers, magic-angle spinning probes obtained from the research group of Drs. Ago Samoson and from Black Fox, LLC, and standard pulse sequence methods. MD simulations were performed with NAMD software and analyzed with VMD software (38 (link), 39 (link)).