The 2023 Multi-Sector Needs Assessment (MSNA) in Romania surveyed 1,222 households representing 3,485 individuals to evaluate the needs of refugees in the country. Conducted from July to September 2023 by a regional interagency team, the assessment aimed to understand refugees’ access to basic services, identify service gaps, and determine refugees’ priorities for the coming year. The data will inform the 2024 Refugee Response Plan, guiding funding and planning requirements for the continued refugee response in Romania. Key focus areas included the in-country refugee population, current level of access to services and how needs are being met, and refugees’ self-reported priorities moving forward. The comprehensive interagency effort provides a critical information baseline to shape an effective, evidence-based humanitarian response.