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Our top models indicated that host genetic clade, precipitation in the year prior to specimen collection, and the year prior to specimen collection best predicted prevalence and severity of skunk cranial worm. We suggest the positive association with precipitation is a result of local availability of gastropods, the intermediate host for skunk cranial worm. There was a negative association between prior year and prevalence, but the severity of damage increased over time for all clades. Given concerns over population declines of spotted