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The report analyzes power outage data from 2014 to 2024 in the central United States, specifically the MISO+ region, finding that all of the 100 worst outage days were caused by extreme weather. It highlights that the 10 most severe events occurred after 2020 and were often compound disasters, such as hurricanes combined with flooding or winter storms with tornadoes. The document argues that climate change is intensifying these risks—increasing the frequency of derechos, the rainfall of hurricanes, and the potential for severe winter outbreaks—while disproportionately impacting socially vulnerable communities. It recommends that utilities, states, and regional operators implement comprehensive climate risk assessments, accelerate the clean energy transition, and engage in meaningful community partnership to build a resilient grid.