In February, several parts of East Africa continued to face atypically high humanitarian needs, driven largely by conflict, severe flooding, drought, and macroeconomic challenges. Needs remain dire in many parts of Sudan and South Sudan, with a risk of Famine (IPC Phase 5) identified in some areas. Despite ongoing humanitarian assistance, Crisis (IPC Phase 3) and Emergency (IPC Phase 4) outcomes persist in the worstaffected regions of the eastern Horn. In parts of Ethiopia, Crisis! (IPC Phase 3!) and Emergency (IPC Phase 4) outcomes prevail, a result of the conflict, below average meher crop production in 2023 due to the El Niño-related drought and soaring staple food prices. However, outcomes could become more extreme than currently projected if food aid is not maintained and if levels of social support decline.