Situated in a complex region of the world, Puntland State in Somalia is coping with existing threats and instabilities, such as droughts, floods, locusts, the movement of internally displaced people (IDPs), and armed actors. The COVID-19 pandemic has added yet another strain on its tremendously fragile infrastructure. The impact of the coronavirus has been far reaching, affecting livelihoods, with employment such as construction halted due to pandemic restrictions, fostering fluctuations around household assets, and hampering unpaid and underpaid care work and responsibilities. With climatic shocks and infestations, Puntland State in Somalia residents are experiencing decimated livelihoods, livestock and land, limited movement, increased violence and limited access to opportunities and support services. The multitude of crises and rates of inflation have left the majority of families food insecure and without income, halted education and health services, and exacerbated existing vulnerabilities and the incidence of violence. Needs far exceed the current available resources and capacity.