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

Hamburg had the highest death rate from external causes (age-standardised) of 38 regions in 2022, at 73.1 per 100,000 people. Weser-Ems had the lowest, at 34.6 per 100,000 people. The median was 50.8 per 100,000 people and the figure for Germany was 50.5 per 100,000 people. Source: Eurostat, European Commission.

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Highest73.1Hamburg
Lowest34.6Weser-Ems
Median50.838 regions
Germany50.5History

All regions, 2022

Hamburg: 73.1 per 100,000 peopleHamburg73.1Leipzig: 68.8 per 100,000 peopleLeipzig68.8Schleswig-Holstein: 60.8 per 100,000 peopleSchleswig-Holstein60.8Brandenburg: 58.8 per 100,000 peopleBrandenburg58.8Dresden: 58.2 per 100,000 peopleDresden58.2Tübingen: 57.3 per 100,000 peopleTübingen57.3Freiburg: 56.9 per 100,000 peopleFreiburg56.9Oberfranken: 56.6 per 100,000 peopleOberfranken56.6Chemnitz: 55 per 100,000 peopleChemnitz55Mittelfranken: 54.7 per 100,000 peopleMittelfranken54.7Niederbayern: 53.6 per 100,000 peopleNiederbayern53.6Schwaben: 52.8 per 100,000 peopleSchwaben52.8Oberbayern: 52.7 per 100,000 peopleOberbayern52.7Mecklenburg-Vorpommern: 51.9 per 100,000 peopleMecklenburg-Vorpommern51.9Koblenz: 51.6 per 100,000 peopleKoblenz51.6Sachsen-Anhalt: 51.5 per 100,000 peopleSachsen-Anhalt51.5Unterfranken: 51.5 per 100,000 peopleUnterfranken51.5Stuttgart: 51.4 per 100,000 peopleStuttgart51.4Saarland: 51 per 100,000 peopleSaarland51Oberpfalz: 50.6 per 100,000 peopleOberpfalz50.6Gießen: 49.5 per 100,000 peopleGießen49.5Trier: 49.1 per 100,000 peopleTrier49.1Karlsruhe: 48.7 per 100,000 peopleKarlsruhe48.7Berlin: 48.5 per 100,000 peopleBerlin48.5Thüringen: 48.4 per 100,000 peopleThüringen48.4Rheinhessen-Pfalz: 47.9 per 100,000 peopleRheinhessen-Pfalz47.9Darmstadt: 47.5 per 100,000 peopleDarmstadt47.5Kassel: 46.9 per 100,000 peopleKassel46.9Arnsberg: 46.3 per 100,000 peopleArnsberg46.3Köln: 46.2 per 100,000 peopleKöln46.2Detmold: 45.5 per 100,000 peopleDetmold45.5Bremen: 45 per 100,000 peopleBremen45Düsseldorf: 43.4 per 100,000 peopleDüsseldorf43.4Münster: 42.4 per 100,000 peopleMünster42.4Braunschweig: 42.3 per 100,000 peopleBraunschweig42.3Lüneburg: 41.3 per 100,000 peopleLüneburg41.3Hannover: 35.6 per 100,000 peopleHannover35.6Weser-Ems: 34.6 per 100,000 peopleWeser-Ems34.6Hamburg: 73.1 per 100,000 peopleHamburg73.1Leipzig: 68.8 per 100,000 peopleLeipzig68.8Schleswig-Holstein: 60.8 per 100,000 peopleSchleswig-Holstein60.8Brandenburg: 58.8 per 100,000 peopleBrandenburg58.8Dresden: 58.2 per 100,000 peopleDresden58.2Tübingen: 57.3 per 100,000 peopleTübingen57.3Freiburg: 56.9 per 100,000 peopleFreiburg56.9Oberfranken: 56.6 per 100,000 peopleOberfranken56.6Chemnitz: 55 per 100,000 peopleChemnitz55Mittelfranken: 54.7 per 100,000 peopleMittelfranken54.7Niederbayern: 53.6 per 100,000 peopleNiederbayern53.6Schwaben: 52.8 per 100,000 peopleSchwaben52.8Oberbayern: 52.7 per 100,000 peopleOberbayern52.7Mecklenburg-Vorpommern: 51.9 per 100,000 peopleMecklenburg-Vorpommern51.9Koblenz: 51.6 per 100,000 peopleKoblenz51.6Sachsen-Anhalt: 51.5 per 100,000 peopleSachsen-Anhalt51.5Unterfranken: 51.5 per 100,000 peopleUnterfranken51.5Stuttgart: 51.4 per 100,000 peopleStuttgart51.4Saarland: 51 per 100,000 peopleSaarland51Oberpfalz: 50.6 per 100,000 peopleOberpfalz50.6Gießen: 49.5 per 100,000 peopleGießen49.5Trier: 49.1 per 100,000 peopleTrier49.1Karlsruhe: 48.7 per 100,000 peopleKarlsruhe48.7Berlin: 48.5 per 100,000 peopleBerlin48.5Thüringen: 48.4 per 100,000 peopleThüringen48.4Rheinhessen-Pfalz: 47.9 per 100,000 peopleRheinhessen-Pfalz47.9Darmstadt: 47.5 per 100,000 peopleDarmstadt47.5Kassel: 46.9 per 100,000 peopleKassel46.9Arnsberg: 46.3 per 100,000 peopleArnsberg46.3Köln: 46.2 per 100,000 peopleKöln46.2Detmold: 45.5 per 100,000 peopleDetmold45.5Bremen: 45 per 100,000 peopleBremen45Düsseldorf: 43.4 per 100,000 peopleDüsseldorf43.4Münster: 42.4 per 100,000 peopleMünster42.4Braunschweig: 42.3 per 100,000 peopleBraunschweig42.3Lüneburg: 41.3 per 100,000 peopleLüneburg41.3Hannover: 35.6 per 100,000 peopleHannover35.6Weser-Ems: 34.6 per 100,000 peopleWeser-Ems34.6
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

RankRegions2022
per 100,000 people
Change on 2021
1Hamburg73.1+7.7 pts
2Leipzig68.8+2.2 pts
3Schleswig-Holstein60.8+11.1 pts
4Brandenburg58.8+0.9 pts
5Dresden58.2-2.9 pts
6Tübingen57.3+5.6 pts
7Freiburg56.9+4.4 pts
8Oberfranken56.6+6.8 pts
9Chemnitz55-0.1 pts
10Mittelfranken54.7+6.7 pts
11Niederbayern53.6-0.5 pts
12Schwaben52.8+6.1 pts
13Oberbayern52.7+4.3 pts
14Mecklenburg-Vorpommern51.9+7.4 pts
15Koblenz51.6-1.2 pts
16Sachsen-Anhalt51.5+4 pts
17Unterfranken51.5+6.3 pts
18Stuttgart51.4+3.8 pts
19Saarland51+3.3 pts
20Oberpfalz50.6+2 pts
21Gießen49.5+5.8 pts
22Trier49.1+3.8 pts
23Karlsruhe48.7+5.2 pts
24Berlin48.5+0.5 pts
25Thüringen48.4+9.7 pts
26Rheinhessen-Pfalz47.9+5.3 pts
27Darmstadt47.5+7 pts
28Kassel46.9+2.3 pts
29Arnsberg46.3+5.4 pts
30Köln46.2+5.8 pts
31Detmold45.5+7.1 pts
32Bremen45+3.7 pts
33Düsseldorf43.4+6 pts
34Münster42.4+6.6 pts
35Braunschweig42.3+8.1 pts
36Lüneburg41.3+3.4 pts
37Hannover35.6+5.5 pts
38Weser-Ems34.6+3.8 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), 2022) [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), 2022. 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=2022. 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), 2022. 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=2022.

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), 2022 [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=2022 (Accessed: 12 October 2026).

BibTeX
@misc{eurostat_regions_of_germany_nuts_2022,
  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), 2022}},
  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=2022. 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), 2022
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=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/external-causes-death-rate/germany-regions?period=2022.
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 73.1 per 100,000 people in 2022, according to Eurostat, European Commission.

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

Weser-Ems, with 34.6 per 100,000 people in 2022.

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