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My Apple Watch 6 also went off in the middle of the night while I was sleeping. I told the 911 operator I was fine and went back to sleep, but I stopped wearing my watch at night and charge it while sleeping. I heard this is a known issue but Apple isn't owning up to it. Otherwise, I've upgraded to an Apple Cellular Watch 7 with no issues and I love it. I use many of the features and it's nice to be able to leave the house without my phone.