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Graphical abstract. Coronavirus disease-2019 (COVID-19) is a global pandemic. Obesity has been associated with increased condition seriousness in COVID-19, and obesity is highly associated with hepatic steatosis (HS). Nevertheless, exactly how HS alters the natural history of COVID-19 is certainly not well characterized, particularly in Western populations. We examined the organization between HS and condition severity in a single-center cohort study of hospitalized COVID-19 patients at Mi