During the September 2018 Integrated Phase Classification (IPC) for South Sudan food security direct outcome indicators for Gogrial West and Twic counties in Warrap state and Mayom county in Unity state were indicative of severe food consumption gaps. Preliminary data from the World Food Programmes’ (WFP) food security and nutrition monitoring system (FSNMS) reported HHs with Household Hunger Score of 5-6, which can be indicative of populations in IPC phase 4 or 5.2 Additionally, SMART surveys that were conducted in each county between May and August reported the GAM prevalence in the three counties was above the World Health Organization (WHO) thresholds for emergency. However, the contributing factors were not clearly highlighted and further ground truthing was suggested. The concerns were raised at the Inter-Cluster Working Group (ICWG) in the first week of October and approved for a follow-up assessment. REACH conducted two simultaneous assessments from October 11th through 20th. One team deployed through Gogrial West and Twic counties in Warrap state, conducting focus group discussions (FGDs) and key informant (KI) interviews with internally displaced people (IDPs) and host community (HC) members. Another team conducted FGDs and KIIs in Mayom county. In total, the teams conducted 18 FGDs, totalling over 50 participants, with both HC and IDPs, 12 KIIs with key implementing partners and government officials, and direct observation in 15 separate locations.