More than 113 million people across 53 countries experienced acute hunger requiring urgent food, nutrition and livelihoods assistance (IPC/CH Phase 3 or above) in 2018. The worst food crises in 2018, in order of severity, were: Yemen, the Democratic Republic of the Congo, Afghanistan, Ethiopia, the Syrian Arab Republic, the Sudan, South Sudan and north Nigeria. These eight countries accounted for two thirds of the total number of people facing acute food insecurity amounting to nearly 72 million people. The figure of 113 million people represents a slight improvement over the number for 2017 presented in last year’s report, in which an estimated 124 million people in 51 countries faced acute hunger. Despite the slight decrease, over the past three years, the report has consistently shown that, year on year, more than 100 million people (2016, 2017 and 2018) have faced periods of acute hunger. The modest decrease between 2017 and 2018 is largely attributed to changes in climate shocks. A number of highly exposed countries did not experience the intensity of climate-related shocks and stressors that they had experienced in 2017 when they variously faced severe drought, flooding, erratic rains and temperature rises brought on by the El Niño of 2015-16. These include countries in southern and eastern Africa, the Horn of Africa, Latin America and the Caribbean, and the Asia- Pacific region. An additional 143 million people in a subset of 42 countries were found to be living in Stressed conditions on the cusp of acute hunger (IPC/CH Phase 2). They risked slipping into Crisis or worse (IPC/CH Phase 3 or above) if faced with a shock or stressor. High levels of acute and chronic malnutrition in children living in emergency conditions remained of grave concern. The immediate drivers of under nutrition include poor dietary intake and disease. Mothers and caregivers often face challenges in providing children with the key micronutrients they need at critical growth periods in food crises. This is reflected in the dismally low number of children consuming a minimum acceptable diet in most of the countries profiled in this report. Conflict and insecurity, climate shocks and economic turbulence the main drivers of food insecurity continued to erode livelihoods and destroy lives. Conflict and insecurity remained the key driver in 2018. Some 74 million people two thirds of those facing acute hunger were located in 21 countries and territories affected by conflict or insecurity. Around 33 million of these people were in 10 countries in Africa; over 27 million were in seven countries and territories in West Asia/Middle East; 13 million were in three countries in South/South-east Asia and 1.1 million in Eastern Europe. Climate and natural disasters pushed another 29 million people into situations of acute food insecurity in 2018. As in previous years, most of these individuals were in Africa, where nearly 23 million people in 20 countries were acutely food insecure primarily due to climate shocks. Economic shocks were the primary driver of acute food insecurity for 10.2 million people, mainly in Burundi, the Sudan and Zimbabwe. The report is available at: https://reliefweb.int/sites/reliefweb.int/files/resources/GRFC_2019-Full_Report.pdf