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

Sachsen-Anhalt had the highest age-standardised death rate, all causes of 38 regions in 2023, at 1,168.5 per 100,000 people. Tübingen had the lowest, at 914.3 per 100,000 people. The median was 1,059.5 per 100,000 people and the figure for Germany was 1,041 per 100,000 people. Source: Eurostat, European Commission.

Highest1,168.5Sachsen-Anhalt
Lowest914.3Tübingen
Median1,059.538 regions
Germany1,041History

All regions, 2023

Sachsen-Anhalt: 1,168.5 per 100,000 peopleSachsen-Anhalt1,168.5Arnsberg: 1,133.2 per 100,000 peopleArnsberg1,133.2Saarland: 1,114.9 per 100,000 peopleSaarland1,114.9Mecklenburg-Vorpommern: 1,102.6 per 100,000 peopleMecklenburg-Vorpommern1,102.6Düsseldorf: 1,099.4 per 100,000 peopleDüsseldorf1,099.4Braunschweig: 1,098.5 per 100,000 peopleBraunschweig1,098.5Bremen: 1,092.7 per 100,000 peopleBremen1,092.7Oberfranken: 1,090.8 per 100,000 peopleOberfranken1,090.8Kassel: 1,088.8 per 100,000 peopleKassel1,088.8Lüneburg: 1,082.8 per 100,000 peopleLüneburg1,082.8Weser-Ems: 1,080.4 per 100,000 peopleWeser-Ems1,080.4Hannover: 1,075.6 per 100,000 peopleHannover1,075.6Thüringen: 1,072.3 per 100,000 peopleThüringen1,072.3Oberpfalz: 1,071.8 per 100,000 peopleOberpfalz1,071.8Gießen: 1,071.2 per 100,000 peopleGießen1,071.2Brandenburg: 1,067.5 per 100,000 peopleBrandenburg1,067.5Chemnitz: 1,066.6 per 100,000 peopleChemnitz1,066.6Münster: 1,066.2 per 100,000 peopleMünster1,066.2Schleswig-Holstein: 1,062.5 per 100,000 peopleSchleswig-Holstein1,062.5Trier: 1,056.6 per 100,000 peopleTrier1,056.6Niederbayern: 1,053.3 per 100,000 peopleNiederbayern1,053.3Koblenz: 1,051.4 per 100,000 peopleKoblenz1,051.4Köln: 1,039.8 per 100,000 peopleKöln1,039.8Hamburg: 1,037.9 per 100,000 peopleHamburg1,037.9Mittelfranken: 1,032.1 per 100,000 peopleMittelfranken1,032.1Detmold: 1,026.5 per 100,000 peopleDetmold1,026.5Berlin: 1,015.3 per 100,000 peopleBerlin1,015.3Leipzig: 1,014 per 100,000 peopleLeipzig1,014Rheinhessen-Pfalz: 1,013.4 per 100,000 peopleRheinhessen-Pfalz1,013.4Unterfranken: 1,003.3 per 100,000 peopleUnterfranken1,003.3Darmstadt: 986.3 per 100,000 peopleDarmstadt986.3Karlsruhe: 971.7 per 100,000 peopleKarlsruhe971.7Schwaben: 960.6 per 100,000 peopleSchwaben960.6Dresden: 957.4 per 100,000 peopleDresden957.4Freiburg: 950 per 100,000 peopleFreiburg950Stuttgart: 925.7 per 100,000 peopleStuttgart925.7Oberbayern: 921.4 per 100,000 peopleOberbayern921.4Tübingen: 914.3 per 100,000 peopleTübingen914.3
per 100,000 people. Source: Eurostat, Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 TOTAL (hlth_cd_asdr2). Retrieved 2026-10-12.

Full ranking

RankRegions2023
per 100,000 people
Change on 2022
1Sachsen-Anhalt1,168.5-54.5 pts
2Arnsberg1,133.2-36.8 pts
3Saarland1,114.9-79 pts
4Mecklenburg-Vorpommern1,102.6-70.8 pts
5Düsseldorf1,099.4-41.4 pts
6Braunschweig1,098.5-27.8 pts
7Bremen1,092.7-49.7 pts
8Oberfranken1,090.8-69.2 pts
9Kassel1,088.8-22 pts
10Lüneburg1,082.8-40.4 pts
11Weser-Ems1,080.4-40.3 pts
12Hannover1,075.6-36.7 pts
13Thüringen1,072.3-65.8 pts
14Oberpfalz1,071.8-43.4 pts
15Gießen1,071.2-42.3 pts
16Brandenburg1,067.5-35.3 pts
17Chemnitz1,066.6-39.4 pts
18Münster1,066.2-47.4 pts
19Schleswig-Holstein1,062.5-43.1 pts
20Trier1,056.6-33.7 pts
21Niederbayern1,053.3-38.9 pts
22Koblenz1,051.4-56.9 pts
23Köln1,039.8-31.8 pts
24Hamburg1,037.9-18.8 pts
25Mittelfranken1,032.1-56.7 pts
26Detmold1,026.5-43.9 pts
27Berlin1,015.3-37.1 pts
28Leipzig1,014-61.5 pts
29Rheinhessen-Pfalz1,013.4-63 pts
30Unterfranken1,003.3-38.8 pts
31Darmstadt986.3-33.8 pts
32Karlsruhe971.7-31.7 pts
33Schwaben960.6-54.8 pts
34Dresden957.4-32.5 pts
35Freiburg950-30.5 pts
36Stuttgart925.7-56 pts
37Oberbayern921.4-38.5 pts
38Tübingen914.3-55.1 pts

Other periods

About this ranking

Deaths from [object Object] (ICD-10 A00 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).

For 2018 to 2021 Eurostat publishes the total under the code A-R_V-Y (all causes excluding S00 to T98, injury codes that are never an underlying cause); Invokely serves both codes as one series. For deaths per 1,000 people without age standardisation use crude_death_rate. 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 TOTAL (hlth_cd_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Retrieved 2026-10-12.

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Questions

Which region has the highest age-standardised death rate, all causes?

Sachsen-Anhalt, with 1,168.5 per 100,000 people in 2023, according to Eurostat, European Commission.

Which region has the lowest age-standardised death rate, all causes?

Tübingen, with 914.3 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 TOTAL (hlth_cd_asdr2). Retrieved 2026-10-12.

Age-standardised death rate, all causes: other rankings

Regions of Germany (NUTS 2): more rankings