The State of the World’s Cash 2020 provides a comprehensive snapshot of cash and voucher assistance (CVA), with significant recommendations for anyone interested in humanitarian action. This report follows on from the first report, a seminal piece, published in 2018. Since then CVA has continued to grow and is now a major part of almost every humanitarian response. The total amount of CVA has doubled since 2016, from $2.8 Bn to $5.6Bn in 2019 and it is an increasingly important tool in the humanitarian toolbox. CVA continues to save lives and livelihoods, and to challenge humanitarian actors to think differently and deliver better. But barriers to greater effectiveness and accountability remain.