The Food and Agriculture Organization of the United Nations (FAO) and the World Food Programme (WFP) warn that acute food insecurity is likely to deteriorate further in 19 countries or situations – called hunger hotspots – during the outlook period from October 2022 to January 2023. Acute food insecurity globally continues to escalate. According to the recently published Global Report on Food Crisis 2022 Mid-year Update, up to 205 million people are expected to face acute food insecurity and to be in need of urgent assistance (IPC/CH Phase 3 or above or equivalent) in 45 countries. If additional data from latest available analysis of 2021 is included for 8 countries and territories, this number is estimated to reach up to 222 million people in 53 countries/territories covered by the GRFC 2022. This is the highest number recorded in the seven-year history of the report. Around 45 million people in 37 countries are projected to have so little to eat that they will be severely malnourished, at risk of death or already facing starvation and death (IPC/CH Phase 4 and above). This includes 970 000 people projected to face Catastrophic conditions (IPC/CH Phase 5) in 2022, if no action is taken.