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The 5150 motherboard BIOS is devoid of hard disk support. For the first two BIOS revisions (which do not support ROM BIOS extensions), a hard drive could be added, but one needed a special boot diskette. See the custom solution at
http://www.selectric.org/old5150/index.html for an example. Think of it as 'hard disk support software' on the diskette.
With the move to the 64-256K motherboard, a third revision of the BIOS was released, and that BIOS supports ROM BIOS extensions. ROM BIOS extensions allowed the diskette based 'hard disk support software' to be moved to a ROM on the hard disk controller.
In summary:
* All 5150 (and 5160) BIOS' don't support hard disks.
* The BIOS' supplied on the 16-64K 5150 motherboard forces one to use a custom 'boot diskette' based hard disk solution.
* The BIOS' supplied on the 64-256K 5150 motherboard allows the use of a hard disk controller that contains a ROM BIOS extension.
IBM released a BIOS upgrade kit for owners of 5150s with 16-64K motherboards. It appears to have been a common upgrade.