Acute food insecurity is likely to deteriorate further in 20 countries or situations – hunger hotspots – in the next months. Organized violence or conflict remain the primary drivers, followed by weather extremes and climate variability. The COVID-19 pandemic continues to disrupt economies. High food prices and low household purchasing power are major economic concerns for food insecurity rising. The report provides country-specific recommendations on priorities for emergency response and anticipatory action to address existing humanitarian needs and ensure short-term protective interventions before new needs materialize.