 This study found that systemic war-related sexual and gender-based violence, SGBV, was prevalent in Tigray, with gangrate being the most common form of sexual violence. Additionally, many survivors did not receive any post-violence medical or psychological support. Therefore, immediate medical and psychological care, and long-term rehabilitation and community support for survivors are urgently needed and recommended. This article was authored by Abraha Waldemichal, Akeza Aweelam Astadam, Kabedah Imbey Jezi, and others.