In 2023, the University of Sheffield published new analysis of the potential impact of Minimum Unit Pricing and restrictions on the discounting of alcohol on public health in Northern Ireland1. Due to a lack of available post-pandemic data, this work primarily used data from 2019 and therefore did not consider the impact that the COVID-19 pandemic has had on health. In June 2025, British Heart Foundation Northern Ireland commissioned the Sheffield Addictions Research Group to use more recent data on hospital admissions and deaths to estimate the burden that alcohol currently places in Northern Ireland. This analysis builds on previous work in England2 and Scotland3 . The aim of this project was to estimate new Alcohol-Attributable Fractions for Northern Ireland and to apply these to recent, post-pandemic, data on hospital admissions, associated NHS costs and deaths to estimate the total number that are caused directly by alcohol consumption and how these are distributed in the population.