The 2023 Multi-Sector Needs Assessment (MSNA) in Slovakia presents findings from a regional interagency multi-sectoral assessment conducted with Ukrainian refugees in Slovakia from July to August 2023. The assessment, carried out by SHC and IOM, aimed to capture the needs of and access to basic services for refugees, identify service gaps, and understand refugees' priorities for the coming year to inform response planning. Using a structured questionnaire, the assessment surveyed purposively selected households of refugees from Ukraine, stratified by geographic area and accommodation type. Key topics included health, protection, food security, education, livelihoods, gender-based violence, mental health, cash assistance, and legal needs. As a key source of information for response planning, the 2023 MSNA provides insights into the experiences and priority needs of Ukrainian refugees in Slovakia.