 This study investigated the association between dietary patterns and the risk of non-alcoholic fatty liver disease, NAFLD, among middle-aged Koreans. The results suggest that men and women following a prudent dietary pattern had a 22% and 36% lower risk of NAFLD, respectively. In contrast, men and women who highly adhered to the flour-based food and meat dietary patterns had a 29% and 55% higher risk of NAFLD, respectively. Additionally, no significant difference was observed between the white rice and NAFLD risk. This article was authored by Sanga Shin and Jale Fu.