Factoring $x^2+4$ [Elementary]

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The real factors of $ x^2+4$ are:

How to factor this without being complex?

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Hint: we have $$x^2+4=x^2\color{blue}{+4x}+4\color{blue}{-4x}=(x+2)^2-(2\sqrt{x})^2$$ which can be factored as a difference of squares.

The answer would be

$$x^2+4=(x-2\sqrt{x}+2)(x+2\sqrt{x}+2)$$

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The factorization of a polynomial in monic binomials is unique. As $x^2+4=(x+2i)(x-2i)$, there is no other option.