This report provides United Nations Security Council (UNSC) members with an overview of the magnitude, severity and drivers of acute food insecurity in eight countries and regions that have the world’s highest burden of people in need of emergency food, nutrition and livelihood assistance as a result of protracted conflict combined with other factors. These countries are: Afghanistan, Central African Republic, Democratic Republic of the Congo, Lake Chad Basin, Somalia, South Sudan, Syrian Arab Republic and Yemen. According to latest analyses from late 2018 (mainly Integrated Food Security Phase Classification [IPC]), around 56 million people need urgent food and livelihood assistance in these countries.