Is the distributor hole of the 426 hemi the same diameter as the hole in small blocks

Edit: also the advance system may not function if you turn the dizzy backwards. I have not looked at a factory dizzy since 1981 in less it was to remove and replace it.

No, the centrifugal advance will not work if spun the wrong way. But I don't think it matters.... a magneto doesn't have the advance mechanism, as far as I know.