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You definitely don't have to do that for a clutch change.  You can change the NSX-R clutch only, just like any other NSX.  But, you will lose the balancing.  If you are a NSX-R owner, Honda Japan will ship you the entire balanced assembly like this to preserve the factory-level performance.  Again, it's mega $$$$.  These photos are from KSP Engineering, who purchased them for new engine builds.  NSX-R in a box, so to speak.