An intermittent knocking noise in a 1999 Nissan Sentra XE when the engine is running and the car is in gear could be caused by several issues. Potential sources include worn or damaged engine components, such as the pistons or bearings, which may produce knocking sounds under load. Additionally, issues with the transmission, such as worn gears or low fluid levels, could also lead to similar noises. It’s advisable to have the vehicle inspected by a mechanic to accurately diagnose the problem.
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