We characterize the effective content and the proof-theoretic strength of a Ramsey-type theorem for bi-colorings of so-called exactly large sets. The theorem we analyze is as follows. For every infinite subset M of N, for every coloring C of the exactly large subsets of M in two colors, there exists and infinite subset L of M such that C is constant on all exactly large subsets of L. This theorem is essentially due to Pudlák and Rödl and independently to Farmaki. We prove that—over RCA0 —this theorem is equivalent to closure under the ωth Turing jump (i.e., under arithmetical truth). Natural combinatorial theorems at this level of complexity are rare. In terms of Reverse Mathematics we give the first Ramsey-theoretic characterization of ACA...