As the Russia-Ukraine international armed conflict enters its fourth year, the humanitarian situation is dire, with economic instability and declining international support driving many into severe hardship. While global support is shifting, the urgency of the crisis remains. Families are forced to make heartbreaking decisions—either return to Ukraine, where their lives are at risk, or remain abroad under increasingly precarious conditions. This IFRC report presents an analysis of the most pressing humanitarian needs and trends. The initiative harnesses quantitative and qualitative data from across IFRC Network, and triangulates it with secondary resources, to produce credible, evidence-based analysis. Much of the analysis contained in this report is anchored by data collected through the partnership between Ukraine Red Cross Society (URCS) and IMPACT Initiatives’ longitudinal survey of people displaced from Ukraine and returnees to Ukraine. The research and analysis contained in this report has been funded by the Belgian Red Cross, British Red Cross, Canadian Red Cross, Danish Red Cross, German Red Cross, IFRC, Norwegian Red Cross and Ukrainian Red Cross Societies.