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They're just green threads with some nice syntax sugar, right? Instead of an OS-level "pause" with a futex-wait or sleep (resumed by the kernel scheduler), they do an application-level pause and require some application-level scheduler. (But coroutines can still call library or kernel functions that block/sleep, breaking userspace scheduling?)

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Yes, exactly. Coroutines are one possible implementation of green threads. Once they are scheduled/loaded on an OS thread, they behave just like regular functions with their own call stack. This means they can indeed call blocking operations at the OS level. A possible approach to handle such operations would be to wrap the blocking call, suspend the coroutine, and then resume it once the operation is complete, perhaps by polling(checking for completion).

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