The Sahel crisis is one of the fastest growing, yet most forgotten crises in the world. The region is facing unprecedented humanitarian needs due to armed conflict, food insecurity, climate change, disease, loss of livelihoods and political instability. In 2023, more than 37.75 million people across Burkina Faso, the Far North of Cameroon, Chad, Mali, Niger and northeast Nigeria will need life-saving assistance. Access to health care has become challenging due to the COVID-19 pandemic, increasing violence and damaged health facilities. The number of new displacements in central Sahel is accelerating. Security incidents, attacks and kidnappings have become a daily reality for millions. The already high risk of food insecurity is compounded by the consequences of COVID-19, climate change and consequences of the war in Ukraine.