Data / Rankings / Death rate from external causes (age-standardised) / Regions of Germany (NUTS 2)

Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2023

Hamburg had the highest death rate from external causes (age-standardised) of 38 regions in 2023, at 78 per 100,000 people. Hannover had the lowest, at 31.1 per 100,000 people. The median was 50.5 per 100,000 people and the figure for Germany was 51.8 per 100,000 people. Source: Eurostat, European Commission.

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Highest78Hamburg
Lowest31.1Hannover
Median50.538 regions
Germany51.8History

All regions, 2023

Hamburg: 78 per 100,000 peopleHamburg78Dresden: 64.4 per 100,000 peopleDresden64.4Schleswig-Holstein: 63.6 per 100,000 peopleSchleswig-Holstein63.6Leipzig: 62.4 per 100,000 peopleLeipzig62.4Chemnitz: 60.6 per 100,000 peopleChemnitz60.6Brandenburg: 58.2 per 100,000 peopleBrandenburg58.2Niederbayern: 56.5 per 100,000 peopleNiederbayern56.5Freiburg: 55.6 per 100,000 peopleFreiburg55.6Tübingen: 55.5 per 100,000 peopleTübingen55.5Oberfranken: 55 per 100,000 peopleOberfranken55Köln: 52.9 per 100,000 peopleKöln52.9Mittelfranken: 52.6 per 100,000 peopleMittelfranken52.6Oberbayern: 52.3 per 100,000 peopleOberbayern52.3Sachsen-Anhalt: 52.1 per 100,000 peopleSachsen-Anhalt52.1Arnsberg: 51.6 per 100,000 peopleArnsberg51.6Oberpfalz: 51.5 per 100,000 peopleOberpfalz51.5Berlin: 51.5 per 100,000 peopleBerlin51.5Schwaben: 51 per 100,000 peopleSchwaben51Koblenz: 50.8 per 100,000 peopleKoblenz50.8Trier: 50.3 per 100,000 peopleTrier50.3Thüringen: 50.2 per 100,000 peopleThüringen50.2Unterfranken: 50.2 per 100,000 peopleUnterfranken50.2Detmold: 49.9 per 100,000 peopleDetmold49.9Stuttgart: 49.8 per 100,000 peopleStuttgart49.8Düsseldorf: 49.3 per 100,000 peopleDüsseldorf49.3Saarland: 49.2 per 100,000 peopleSaarland49.2Karlsruhe: 49.2 per 100,000 peopleKarlsruhe49.2Gießen: 49.1 per 100,000 peopleGießen49.1Mecklenburg-Vorpommern: 48 per 100,000 peopleMecklenburg-Vorpommern48Darmstadt: 48 per 100,000 peopleDarmstadt48Rheinhessen-Pfalz: 47.8 per 100,000 peopleRheinhessen-Pfalz47.8Münster: 47.8 per 100,000 peopleMünster47.8Bremen: 47.1 per 100,000 peopleBremen47.1Kassel: 46.4 per 100,000 peopleKassel46.4Braunschweig: 42.4 per 100,000 peopleBraunschweig42.4Lüneburg: 39.3 per 100,000 peopleLüneburg39.3Weser-Ems: 34.6 per 100,000 peopleWeser-Ems34.6Hannover: 31.1 per 100,000 peopleHannover31.1Hamburg: 78 per 100,000 peopleHamburg78Dresden: 64.4 per 100,000 peopleDresden64.4Schleswig-Holstein: 63.6 per 100,000 peopleSchleswig-Holstein63.6Leipzig: 62.4 per 100,000 peopleLeipzig62.4Chemnitz: 60.6 per 100,000 peopleChemnitz60.6Brandenburg: 58.2 per 100,000 peopleBrandenburg58.2Niederbayern: 56.5 per 100,000 peopleNiederbayern56.5Freiburg: 55.6 per 100,000 peopleFreiburg55.6Tübingen: 55.5 per 100,000 peopleTübingen55.5Oberfranken: 55 per 100,000 peopleOberfranken55Köln: 52.9 per 100,000 peopleKöln52.9Mittelfranken: 52.6 per 100,000 peopleMittelfranken52.6Oberbayern: 52.3 per 100,000 peopleOberbayern52.3Sachsen-Anhalt: 52.1 per 100,000 peopleSachsen-Anhalt52.1Arnsberg: 51.6 per 100,000 peopleArnsberg51.6Oberpfalz: 51.5 per 100,000 peopleOberpfalz51.5Berlin: 51.5 per 100,000 peopleBerlin51.5Schwaben: 51 per 100,000 peopleSchwaben51Koblenz: 50.8 per 100,000 peopleKoblenz50.8Trier: 50.3 per 100,000 peopleTrier50.3Thüringen: 50.2 per 100,000 peopleThüringen50.2Unterfranken: 50.2 per 100,000 peopleUnterfranken50.2Detmold: 49.9 per 100,000 peopleDetmold49.9Stuttgart: 49.8 per 100,000 peopleStuttgart49.8Düsseldorf: 49.3 per 100,000 peopleDüsseldorf49.3Saarland: 49.2 per 100,000 peopleSaarland49.2Karlsruhe: 49.2 per 100,000 peopleKarlsruhe49.2Gießen: 49.1 per 100,000 peopleGießen49.1Mecklenburg-Vorpommern: 48 per 100,000 peopleMecklenburg-Vorpommern48Darmstadt: 48 per 100,000 peopleDarmstadt48Rheinhessen-Pfalz: 47.8 per 100,000 peopleRheinhessen-Pfalz47.8Münster: 47.8 per 100,000 peopleMünster47.8Bremen: 47.1 per 100,000 peopleBremen47.1Kassel: 46.4 per 100,000 peopleKassel46.4Braunschweig: 42.4 per 100,000 peopleBraunschweig42.4Lüneburg: 39.3 per 100,000 peopleLüneburg39.3Weser-Ems: 34.6 per 100,000 peopleWeser-Ems34.6Hannover: 31.1 per 100,000 peopleHannover31.1
per 100,000 people. Source: Eurostat, Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). Retrieved 2026-10-12.

Full ranking

RankRegions2023
per 100,000 people		Change on 2022
1Hamburg78+4.9 pts
2Dresden64.4+6.3 pts
3Schleswig-Holstein63.6+2.8 pts
4Leipzig62.4-6.4 pts
5Chemnitz60.6+5.7 pts
6Brandenburg58.2-0.7 pts
7Niederbayern56.5+2.9 pts
8Freiburg55.6-1.4 pts
9Tübingen55.5-1.8 pts
10Oberfranken55-1.6 pts
11Köln52.9+6.7 pts
12Mittelfranken52.6-2 pts
13Oberbayern52.3-0.5 pts
14Sachsen-Anhalt52.1+0.6 pts
15Arnsberg51.6+5.3 pts
16Oberpfalz51.5+1 pts
17Berlin51.5+3 pts
18Schwaben51-1.8 pts
19Koblenz50.8-0.8 pts
20Trier50.3+1.2 pts
21Thüringen50.2+1.8 pts
22Unterfranken50.2-1.3 pts
23Detmold49.9+4.4 pts
24Stuttgart49.8-1.6 pts
25Düsseldorf49.3+5.9 pts
26Saarland49.2-1.8 pts
27Karlsruhe49.2+0.5 pts
28Gießen49.1-0.4 pts
29Mecklenburg-Vorpommern48-3.9 pts
30Darmstadt48+0.5 pts
31Rheinhessen-Pfalz47.8-0.1 pts
32Münster47.8+5.4 pts
33Bremen47.1+2.1 pts
34Kassel46.4-0.5 pts
35Braunschweig42.4+0.1 pts
36Lüneburg39.3-2.1 pts
37Weser-Ems34.60 pts
38Hannover31.1-4.6 pts

Other periods

About this ranking

Deaths from [object Object] (ICD-10 V01 to Y89) per 100,000 inhabitants, age-standardised to the revised European Standard Population of 2013. Both sexes, all ages, by place of residence (Eurostat causes of death statistics).

Age standardisation removes the effect of different age structures, so EU countries and regions can be compared with each other. US age-adjusted rates use the 2000 US standard population and are not comparable with these. Death certification and cause coding differ between countries, and Eurostat flags some values as following a different definition. Eurostat publishes these rates about two and a half years after the reference year.

Every value in the ranking comes from the same publisher and the same period, so the regions are compared on one definition. Equal values share a rank.

How to cite

Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Eurostat, European Commission. (2026). Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2) (Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2023) [Data set]. Retrieved October 12, 2026, from https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table

MLA 9

Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2), Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2023. Eurostat, European Commission, 8 June 2026, https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Invokely, https://invokely.ai/rankings/external-causes-death-rate/germany-regions. Accessed 12 Oct. 2026.

Chicago (author-date)

Eurostat, European Commission. 2026. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2023. Dataset. Accessed October 12, 2026. https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Also distributed by Invokely, https://invokely.ai/rankings/external-causes-death-rate/germany-regions.

Harvard

Eurostat, European Commission (2026) Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2), Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2023 [Dataset]. Available at: https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table, via Invokely: https://invokely.ai/rankings/external-causes-death-rate/germany-regions (Accessed: 12 October 2026).

BibTeX
@misc{eurostat_regions_of_germany_nuts_2023,
  author = {{Eurostat, European Commission}},
  title = {{Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth\_cd\_asdr2): Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/external-causes-death-rate/germany-regions. Publisher attribution: Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth\_cd\_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth\_cd\_asdr2/default/table. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - Eurostat, European Commission
TI  - Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2): Regions of Germany (NUTS 2) by death rate from external causes (age-standardised), 2023
PY  - 2026
DA  - 2026/06/08
PB  - Eurostat, European Commission
DB  - Invokely
UR  - https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table
L2  - https://invokely.ai/rankings/external-causes-death-rate/germany-regions
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/external-causes-death-rate/germany-regions.
N1  - Publisher attribution: Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Retrieved 2026-10-12.
ER  -
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Questions

Which region has the highest death rate from external causes (age-standardised)?

Hamburg, with 78 per 100,000 people in 2023, according to Eurostat, European Commission.

Which region has the lowest death rate from external causes (age-standardised)?

Hannover, with 31.1 per 100,000 people in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Eurostat, European Commission, Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 V01-Y89 (hlth_cd_asdr2). Retrieved 2026-10-12.

Death rate from external causes (age-standardised): other rankings

Regions of Germany (NUTS 2): more rankings