Yes, 43 teeth from cam to crank will put the crank timing mark at about 5:25, this results in the crankshaft keyway being at about 11:00 as described above, so when balancer goes on the timing marks should be about 12:00 not 9:00. The truck runs, rough but runs. I can't set the time using the timing marks. I made my own mark, green dot in my photo above. I don't know if this will cause a problem or not. It's a brand new balancer, supposedly for a 97 pathy. The old balancer that was on the truck is the same way as the new one. I read a post where someone else had this exact same issue but a fix was never posted.