As of 15 August 2025, Famine (IPC Phase 5)—with reasonable evidence—is confirmed in Gaza Governorate. After 22 months of relentless conflict, over half a million people in the Gaza Strip are facing catastrophic conditions characterised by starvation, destitution and death. Another 1.07 million people (54 percent) are in Emergency (IPC Phase 4), and 396,000 people (20 percent) are in Crisis (IPC Phase 3). Between mid-August and the end of September 2025, conditions are expected to further worsen with Famine projected to expand to Deir al-Balah and Khan Younis. Nearly a third of the population (641,000 people) are expected to face catastrophic conditions (IPC Phase 5), while those in Emergency (IPC Phase 4) will likely rise to 1.14 million (58 percent). Acute malnutrition is projected to continue worsening rapidly. Through June 2026, at least 132,000 children under five are expected to suffer from acute malnutrition—double the IPC estimates from May 2025. This includes over 41,000 severe cases of children at heightened risk of death. Nearly 55,500 malnourished pregnant and breastfeeding women will require urgent nutrition response. Conditions in North Gaza Governorate are estimated to be as severe—or worse—than in Gaza Governorate. However, limited data prevents IPC classification of this area, highlighting the urgent need for access and comprehensive assessments. Rafah Governorate was not analysed given indications that it is largely depopulated.