This most recent report on the state of food security and nutrition in Asia and the Pacific tells a grim story. An estimated 375.8 million people in the region faced hunger in 2020, which is nearly 54 million more people than in 2019. In this region alone, more than 1.1 billion people did not have access to adequate food in 2020 – an increase of almost 150 million people in just one year. The high cost of a healthy diet and persistently high levels of poverty and income inequality continue to hold healthy diets out of reach for 1.8 billion people in this region. The pre-existing food security and nutrition situation in Asia and the Pacific in 2019 was already quite discouraging. Progress had stalled in reducing the number of undernourished, and the prevalence of certain nutritional indicators, such as stunting in children under five years of age, was much too high. Since then, the situation has worsened. While it is not yet possible to fully quantify the impact of the COVID-19 pandemic in 2020, clearly it has had a serious impact across the region.