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 2021, at 66.6 per 100,000 people. Hannover had the lowest, at 30.2 per 100,000 people. The median was 46 per 100,000 people and the figure for Germany was 45.5 per 100,000 people. Source: Eurostat, European Commission.

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Highest66.6Leipzig
Lowest30.2Hannover
Median4638 regions
Germany45.5History

All regions, 2021

Leipzig: 66.6 per 100,000 peopleLeipzig66.6Hamburg: 65.4 per 100,000 peopleHamburg65.4Dresden: 61.1 per 100,000 peopleDresden61.1Brandenburg: 57.9 per 100,000 peopleBrandenburg57.9Chemnitz: 55.1 per 100,000 peopleChemnitz55.1Niederbayern: 54.1 per 100,000 peopleNiederbayern54.1Koblenz: 52.8 per 100,000 peopleKoblenz52.8Freiburg: 52.6 per 100,000 peopleFreiburg52.6Tübingen: 51.7 per 100,000 peopleTübingen51.7Oberfranken: 49.8 per 100,000 peopleOberfranken49.8Schleswig-Holstein: 49.7 per 100,000 peopleSchleswig-Holstein49.7Oberpfalz: 48.6 per 100,000 peopleOberpfalz48.6Oberbayern: 48.4 per 100,000 peopleOberbayern48.4Berlin: 48 per 100,000 peopleBerlin48Mittelfranken: 48 per 100,000 peopleMittelfranken48Saarland: 47.7 per 100,000 peopleSaarland47.7Stuttgart: 47.6 per 100,000 peopleStuttgart47.6Sachsen-Anhalt: 47.5 per 100,000 peopleSachsen-Anhalt47.5Schwaben: 46.7 per 100,000 peopleSchwaben46.7Trier: 45.2 per 100,000 peopleTrier45.2Unterfranken: 45.2 per 100,000 peopleUnterfranken45.2Kassel: 44.6 per 100,000 peopleKassel44.6Mecklenburg-Vorpommern: 44.5 per 100,000 peopleMecklenburg-Vorpommern44.5Gießen: 43.7 per 100,000 peopleGießen43.7Karlsruhe: 43.5 per 100,000 peopleKarlsruhe43.5Rheinhessen-Pfalz: 42.6 per 100,000 peopleRheinhessen-Pfalz42.6Bremen: 41.4 per 100,000 peopleBremen41.4Arnsberg: 40.9 per 100,000 peopleArnsberg40.9Darmstadt: 40.5 per 100,000 peopleDarmstadt40.5Köln: 40.4 per 100,000 peopleKöln40.4Thüringen: 38.6 per 100,000 peopleThüringen38.6Detmold: 38.3 per 100,000 peopleDetmold38.3Lüneburg: 37.9 per 100,000 peopleLüneburg37.9Düsseldorf: 37.4 per 100,000 peopleDüsseldorf37.4Münster: 35.7 per 100,000 peopleMünster35.7Braunschweig: 34.1 per 100,000 peopleBraunschweig34.1Weser-Ems: 30.7 per 100,000 peopleWeser-Ems30.7Hannover: 30.2 per 100,000 peopleHannover30.2Leipzig: 66.6 per 100,000 peopleLeipzig66.6Hamburg: 65.4 per 100,000 peopleHamburg65.4Dresden: 61.1 per 100,000 peopleDresden61.1Brandenburg: 57.9 per 100,000 peopleBrandenburg57.9Chemnitz: 55.1 per 100,000 peopleChemnitz55.1Niederbayern: 54.1 per 100,000 peopleNiederbayern54.1Koblenz: 52.8 per 100,000 peopleKoblenz52.8Freiburg: 52.6 per 100,000 peopleFreiburg52.6Tübingen: 51.7 per 100,000 peopleTübingen51.7Oberfranken: 49.8 per 100,000 peopleOberfranken49.8Schleswig-Holstein: 49.7 per 100,000 peopleSchleswig-Holstein49.7Oberpfalz: 48.6 per 100,000 peopleOberpfalz48.6Oberbayern: 48.4 per 100,000 peopleOberbayern48.4Berlin: 48 per 100,000 peopleBerlin48Mittelfranken: 48 per 100,000 peopleMittelfranken48Saarland: 47.7 per 100,000 peopleSaarland47.7Stuttgart: 47.6 per 100,000 peopleStuttgart47.6Sachsen-Anhalt: 47.5 per 100,000 peopleSachsen-Anhalt47.5Schwaben: 46.7 per 100,000 peopleSchwaben46.7Trier: 45.2 per 100,000 peopleTrier45.2Unterfranken: 45.2 per 100,000 peopleUnterfranken45.2Kassel: 44.6 per 100,000 peopleKassel44.6Mecklenburg-Vorpommern: 44.5 per 100,000 peopleMecklenburg-Vorpommern44.5Gießen: 43.7 per 100,000 peopleGießen43.7Karlsruhe: 43.5 per 100,000 peopleKarlsruhe43.5Rheinhessen-Pfalz: 42.6 per 100,000 peopleRheinhessen-Pfalz42.6Bremen: 41.4 per 100,000 peopleBremen41.4Arnsberg: 40.9 per 100,000 peopleArnsberg40.9Darmstadt: 40.5 per 100,000 peopleDarmstadt40.5Köln: 40.4 per 100,000 peopleKöln40.4Thüringen: 38.6 per 100,000 peopleThüringen38.6Detmold: 38.3 per 100,000 peopleDetmold38.3Lüneburg: 37.9 per 100,000 peopleLüneburg37.9Düsseldorf: 37.4 per 100,000 peopleDüsseldorf37.4Münster: 35.7 per 100,000 peopleMünster35.7Braunschweig: 34.1 per 100,000 peopleBraunschweig34.1Weser-Ems: 30.7 per 100,000 peopleWeser-Ems30.7Hannover: 30.2 per 100,000 peopleHannover30.2
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

RankRegions2021
per 100,000 people		Change on 2020
1Leipzig66.6-0.8 pts
2Hamburg65.4+5.1 pts
3Dresden61.1+1.8 pts
4Brandenburg57.9+5.1 pts
5Chemnitz55.1+0.2 pts
6Niederbayern54.1+2.1 pts
7Koblenz52.8+8.4 pts
8Freiburg52.6+2 pts
9Tübingen51.7+1.8 pts
10Oberfranken49.8+2.1 pts
11Schleswig-Holstein49.7-3.5 pts
12Oberpfalz48.6+0.5 pts
13Oberbayern48.4-0.7 pts
14Berlin48+0.4 pts
15Mittelfranken48-0.8 pts
16Saarland47.7+2.7 pts
17Stuttgart47.6+2.4 pts
18Sachsen-Anhalt47.5+0.1 pts
19Schwaben46.7-1.6 pts
20Trier45.2+2 pts
21Unterfranken45.2-1.3 pts
22Kassel44.6+0.7 pts
23Mecklenburg-Vorpommern44.5-3.5 pts
24Gießen43.7+1 pts
25Karlsruhe43.5-0.9 pts
26Rheinhessen-Pfalz42.6+2.9 pts
27Bremen41.4-3.1 pts
28Arnsberg40.9+2.6 pts
29Darmstadt40.5-3.4 pts
30Köln40.4+0.4 pts
31Thüringen38.6+2.3 pts
32Detmold38.3-1.4 pts
33Lüneburg37.9+0.3 pts
34Düsseldorf37.4+0.9 pts
35Münster35.7-0.2 pts
36Braunschweig34.1-0.4 pts
37Weser-Ems30.7-2 pts
38Hannover30.2+0.5 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), 2021) [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), 2021. 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=2021. 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), 2021. 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=2021.

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), 2021 [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=2021 (Accessed: 12 October 2026).

BibTeX
@misc{eurostat_regions_of_germany_nuts_2021,
  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), 2021}},
  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=2021. 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), 2021
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=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/external-causes-death-rate/germany-regions?period=2021.
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 66.6 per 100,000 people in 2021, according to Eurostat, European Commission.

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

Hannover, with 30.2 per 100,000 people in 2021.

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