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Yes, this will fit a Glock 43x.The two glass-filled nylon plastic housings of the TSM is designed to lock onto the front of the pistol's trigger guard for secure installation and the lowest profile possible. Hope this helps.

Yes that'll work with G43, G43x, or G48 attaches to the trigger guard and the accessories rail. Pics here https://www.classicfirearms.com/nstick-tsm11g-subcomp-weaponlight-w-green-laser/

Stephen, no rails needed as it attaches directly to the trigger guard as shown on the G43 here : https://www.nightstick.com/products/tsm-11g