Scotland has recorded 1,277 alcohol-specific deaths in 2023, marking the highest level in 15 years and an increase of one death from the previous year. Two-thirds of these fatalities were men, predominantly aged 45 to 74, while mortality rates for those over 65 reached their highest since records began. Deprivation plays a significant role, with individuals in the most deprived areas being 4.5 times more likely to die from alcohol-related causes than those in wealthier regions. Despite the introduction of Minimum Unit Pricing (MUP) in 2018, which the government claims has saved hundreds of lives, the death rate continues to climb. Public health officials emphasize the ongoing public health emergency and the need for urgent action, while advocates argue that more comprehensive strategies are required to address Scotland's alcohol issues. The overall trend has raised concerns about Scotland's position as having the highest alcohol-related death rate in the UK, although the gap with other regions has narrowed over the years.