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)

Leipzig had the highest death rate from external causes (age-standardised) of 38 regions in 2020, at 67.5 per 100,000 people. Hannover had the lowest, at 29.7 per 100,000 people. The median was 45.1 per 100,000 people and the figure for Germany was 44.9 per 100,000 people. Source: Eurostat, European Commission.

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Highest67.5Leipzig
Lowest29.7Hannover
Median45.138 regions
Germany44.9History

All regions, 2020

Leipzig: 67.5 per 100,000 peopleLeipzig67.5Hamburg: 60.3 per 100,000 peopleHamburg60.3Dresden: 59.3 per 100,000 peopleDresden59.3Chemnitz: 54.9 per 100,000 peopleChemnitz54.9Schleswig-Holstein: 53.2 per 100,000 peopleSchleswig-Holstein53.2Brandenburg: 52.8 per 100,000 peopleBrandenburg52.8Niederbayern: 52 per 100,000 peopleNiederbayern52Freiburg: 50.6 per 100,000 peopleFreiburg50.6Tübingen: 49.9 per 100,000 peopleTübingen49.9Oberbayern: 49.2 per 100,000 peopleOberbayern49.2Mittelfranken: 48.8 per 100,000 peopleMittelfranken48.8Schwaben: 48.4 per 100,000 peopleSchwaben48.4Oberpfalz: 48.1 per 100,000 peopleOberpfalz48.1Mecklenburg-Vorpommern: 48 per 100,000 peopleMecklenburg-Vorpommern48Oberfranken: 47.6 per 100,000 peopleOberfranken47.6Berlin: 47.6 per 100,000 peopleBerlin47.6Sachsen-Anhalt: 47.4 per 100,000 peopleSachsen-Anhalt47.4Unterfranken: 46.5 per 100,000 peopleUnterfranken46.5Stuttgart: 45.2 per 100,000 peopleStuttgart45.2Saarland: 45 per 100,000 peopleSaarland45Bremen: 44.5 per 100,000 peopleBremen44.5Koblenz: 44.4 per 100,000 peopleKoblenz44.4Karlsruhe: 44.4 per 100,000 peopleKarlsruhe44.4Kassel: 43.9 per 100,000 peopleKassel43.9Darmstadt: 43.8 per 100,000 peopleDarmstadt43.8Trier: 43.2 per 100,000 peopleTrier43.2Gießen: 42.8 per 100,000 peopleGießen42.8Köln: 40 per 100,000 peopleKöln40Detmold: 39.7 per 100,000 peopleDetmold39.7Rheinhessen-Pfalz: 39.7 per 100,000 peopleRheinhessen-Pfalz39.7Arnsberg: 38.3 per 100,000 peopleArnsberg38.3Lüneburg: 37.6 per 100,000 peopleLüneburg37.6Düsseldorf: 36.5 per 100,000 peopleDüsseldorf36.5Thüringen: 36.3 per 100,000 peopleThüringen36.3Münster: 35.9 per 100,000 peopleMünster35.9Braunschweig: 34.5 per 100,000 peopleBraunschweig34.5Weser-Ems: 32.7 per 100,000 peopleWeser-Ems32.7Hannover: 29.7 per 100,000 peopleHannover29.7Leipzig: 67.5 per 100,000 peopleLeipzig67.5Hamburg: 60.3 per 100,000 peopleHamburg60.3Dresden: 59.3 per 100,000 peopleDresden59.3Chemnitz: 54.9 per 100,000 peopleChemnitz54.9Schleswig-Holstein: 53.2 per 100,000 peopleSchleswig-Holstein53.2Brandenburg: 52.8 per 100,000 peopleBrandenburg52.8Niederbayern: 52 per 100,000 peopleNiederbayern52Freiburg: 50.6 per 100,000 peopleFreiburg50.6Tübingen: 49.9 per 100,000 peopleTübingen49.9Oberbayern: 49.2 per 100,000 peopleOberbayern49.2Mittelfranken: 48.8 per 100,000 peopleMittelfranken48.8Schwaben: 48.4 per 100,000 peopleSchwaben48.4Oberpfalz: 48.1 per 100,000 peopleOberpfalz48.1Mecklenburg-Vorpommern: 48 per 100,000 peopleMecklenburg-Vorpommern48Oberfranken: 47.6 per 100,000 peopleOberfranken47.6Berlin: 47.6 per 100,000 peopleBerlin47.6Sachsen-Anhalt: 47.4 per 100,000 peopleSachsen-Anhalt47.4Unterfranken: 46.5 per 100,000 peopleUnterfranken46.5Stuttgart: 45.2 per 100,000 peopleStuttgart45.2Saarland: 45 per 100,000 peopleSaarland45Bremen: 44.5 per 100,000 peopleBremen44.5Koblenz: 44.4 per 100,000 peopleKoblenz44.4Karlsruhe: 44.4 per 100,000 peopleKarlsruhe44.4Kassel: 43.9 per 100,000 peopleKassel43.9Darmstadt: 43.8 per 100,000 peopleDarmstadt43.8Trier: 43.2 per 100,000 peopleTrier43.2Gießen: 42.8 per 100,000 peopleGießen42.8Köln: 40 per 100,000 peopleKöln40Detmold: 39.7 per 100,000 peopleDetmold39.7Rheinhessen-Pfalz: 39.7 per 100,000 peopleRheinhessen-Pfalz39.7Arnsberg: 38.3 per 100,000 peopleArnsberg38.3Lüneburg: 37.6 per 100,000 peopleLüneburg37.6Düsseldorf: 36.5 per 100,000 peopleDüsseldorf36.5Thüringen: 36.3 per 100,000 peopleThüringen36.3Münster: 35.9 per 100,000 peopleMünster35.9Braunschweig: 34.5 per 100,000 peopleBraunschweig34.5Weser-Ems: 32.7 per 100,000 peopleWeser-Ems32.7Hannover: 29.7 per 100,000 peopleHannover29.7
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

RankRegions2020
per 100,000 people		Change on 2019
1Leipzig67.5-4.6 pts
2Hamburg60.3+0.1 pts
3Dresden59.3+0.1 pts
4Chemnitz54.9-4.8 pts
5Schleswig-Holstein53.2-1.5 pts
6Brandenburg52.8+2.9 pts
7Niederbayern52+0.8 pts
8Freiburg50.6-1.7 pts
9Tübingen49.9+1.1 pts
10Oberbayern49.2-2.1 pts
11Mittelfranken48.8+2 pts
12Schwaben48.4-1.2 pts
13Oberpfalz48.1-3.7 pts
14Mecklenburg-Vorpommern48+2 pts
15Oberfranken47.6+0.5 pts
16Berlin47.6+5.3 pts
17Sachsen-Anhalt47.4-0.8 pts
18Unterfranken46.5+1.7 pts
19Stuttgart45.2-2.4 pts
20Saarland45+1.9 pts
21Bremen44.5+6.3 pts
22Koblenz44.4+0.3 pts
23Karlsruhe44.4-1.6 pts
24Kassel43.9-0.7 pts
25Darmstadt43.8+1.6 pts
26Trier43.2-1.8 pts
27Gießen42.8-2.7 pts
28Köln40+1.4 pts
29Detmold39.7+2 pts
30Rheinhessen-Pfalz39.7-3.3 pts
31Arnsberg38.3+1.5 pts
32Lüneburg37.6-2.1 pts
33Düsseldorf36.5-0.5 pts
34Thüringen36.3-13.5 pts
35Münster35.9-1.2 pts
36Braunschweig34.5-6.1 pts
37Weser-Ems32.7-4.3 pts
38Hannover29.7-1.6 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), 2020) [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), 2020. 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?period=2020. 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), 2020. 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?period=2020.

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), 2020 [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?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{eurostat_regions_of_germany_nuts_2020,
  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), 2020}},
  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?period=2020. 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), 2020
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?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/external-causes-death-rate/germany-regions?period=2020.
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)?

Leipzig, with 67.5 per 100,000 people in 2020, according to Eurostat, European Commission.

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

Hannover, with 29.7 per 100,000 people in 2020.

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