Nutrition surveys conducted in late 2022 and March 2023 to point to high levels of acute malnutrition in many areas, with most population groups across Somalia would facing Critical (IPC AMN Phase 4) or Serious (IPC AMN Phase 3) levels of acute malnutrition through June 2023. These results remain unchanged based on the additional assessments and subsequent analysis conducted in March and April 2023. Accordingly, the previously estimated total burden of acute malnutrition among children under the age of five years in Somalia for January to December 2023 remains valid at approximately 1.8 million acutely malnourished children, including 477,700 who are projected to be severely malnourished. Results from assessments conducted in late 2022 and March 2023 generally show low levels of mortality (Crude Death Rate (CDR) and/or Under-Five Death Rate (U5DR)) in most surveyed areas of Somalia. The main drivers of acute malnutrition and mortality are household-level reductions in food and milk consumption, disease outbreaks (including acute watery diarrhea (AWD), cholera, and measles and associated high levels of morbidity among children, limited health and nutrition services, and persistent underlying causes related to sanitation and health.