Red Dead Redemption 2 PC - An American Pastoral Scene Gold
Channel: Third-rate Hero
Date: 28/01/2022

Other would say to skip scenes, its not necessary unless if you really need to, to get gold. Kill the guards first while except for the stagecoach driver, Run pass him until you reach a bridge, wait for the stagecoach and kill the driver there. 

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An American Pastoral Scene medal objectives:
Headshot each of the mounted guards protecting the wagon
Get 10 kills in Dead Eye
Complete within 6 minutes
Complete the mission without taking any health item
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Specs:
Ryzen 5 3600 CPU
Hyper X fury 16g RAM
Rx 5700 XT
Silvestone PSU 600W