I am not sure why if you know the content, you are making below 20’s on the MCAT, but that being said, I took 15 different practice tests and had score jumps from day to day of plus or minus 5, meaning a spread of 10 points. I had one day where I made 7 on the verbal and the next day I made 14. The the two biggest things that I struggled with before I started making better scores were content and timing. Once I finished all of my Kaplan content review and forced myself to maintain a pace where I finished each section 2-3 minutes early, my score from one practice test to the next jumped from 27 to 37. I took 12 more practice tests after that before test day and my test average for those 12 tests was 37.5. Remember my diagnostic was 27. The solution once again was perfect understanding of all Kaplan content, and machine like timing on every test I took.