The indirect impacts of the COVID-19 pandemic on food security, primarily through reduced income earning, including due to movement restrictions and global economic decline, were felt in earnest across much of the globe starting in April 2020. With the current and anticipated impacts of COVID-19, FEWS NET estimated approximately 113 million people would be in need of humanitarian food assistance across 46 countries, a roughly 25 percent increase in needs relative to anticipated 2020 needs before the pandemic (Annex 1). Although measures to curb the spread of COVID-19 are being eased in many countries, recovery from this shock is expected to be gradual, as the restrictions that do remain in place and the contraction of economies globally continue to limit the demand for the income-generating activities through which many poor households earn income. Furthermore, given the increase in COVID-19 cases, a heightened risk of further lockdown measures remains. At the same time, other drivers of acute food insecurity persist and are anticipated to result in high levels of acute food insecurity in 2020, regardless of the evolution of the COVID-19 pandemic. Key among these are: conflict, weather shocks, and poor macroeconomic conditions that existed prior the COVID-19 pandemic. A summary of these drivers and their likely impact on acute food insecurity are detailed below.