[cencio]

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As East, should I bid 2 hearts, or can I pass?

[pescetom]

If I were to bid anything it would be 2♣ showing majors 5-4+, but the spades are too poor (although in this layout the auction gets interesting).

Also beware that it is A/E standard (MultiLandy) for 2 in a major to also promise 4+ in an undisclosed minor.

[P_Marlowe]

#1 you always can pass, but it is usually a good idea, to get in, if they opened 1NT
#2 if 2H is natural, bid it why not ..., it is a q, if you should introduce spade besides hearts,
even if you could, given the difference in length and quality
The 4 card spade suit makes it less likely, that they can make a T/O double, which reduces
the risk of getting in
#3 I am not 100% sure, if I would introduce the heart via a Multi Landy 2D or Capp 2C bid, ...
maybe I am inconsequent, in case I cannot bid 2H, because it would show 5+ hearts and a 4+ minor
suit