The 2019 edition of this annual report indicates that the number of people who suffer from hunger, overweight, and obesity continues to rise, while many people also experience moderate food insecurity. New evidence linking economic downturns to food insecurity and malnutrition is highlighted. To help monitor progress toward ending malnutrition, the report includes estimates of food insecurity prevalence based on the Food Insecurity Experience Scale (FIES). The authors conclude by recommending policies that both address the underlying causes of malnutrition—poverty, inequality, and marginalization—and also safeguard food security and nutrition against economic slowdowns.