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The D Francisco Franco, Chief of State of the Spanish State, also held the title Generalísimo de los Ejércitos Españoles, or "Generalissimo of the Spanish Armies", a title which expressed his supreme command of the Army, Navy, and Air Force of the Spanish State.
Chiang Kai-Shek also used the term. The Japanese equivalent to this was a Shogun.
The term "Generalissimo" in English has come to refer to a kind of ruler who has ascended to that position by a military coup. Typically the person has some of the characteristics of well known dictators - like Pinochet or Castro.