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In recent years, Austin, Texas has experienced an increase in population and urban development. Additionally, the City’s climate—already characterized by periods of extreme heat and drought—continues to change. As temperatures and demand for utilities and cooling resources rise, the number of heat-related deaths and illnesses in socially vulnerable populations (e.g., older, lower-income populations) is expected to increase. The City of Austin, The University of Texas at Austin (UT Austin), and The University of Texas Health Science Center at Houston (UT Health) partnered with NASA DEVELOP to examine the distribution of urban heat throughout the City. This project used land surface temperature, greenness, plant water content, and urban surface material analysis parameters derived from NASA Earth observations from Landsat 8 Operational Land Imager (OLI), Landsat 8 Thermal Infrared Sensor (TIRS), and Aqua and Terra Moderate Resolution Imaging Spectroradiometer (MODIS). The project team produced three different indices to create a spatial analysis for the study area including a social vulnerability index (SoVI), heat exposure index (HEI), and an overall heat priority index (HPI) score. This overall score was determined with a weighted analysis of heat-related environmental variables from NASA Earth observations and socioeconomic data from the 2019 American Community Survey. Based on the HPI score, the project team identified 121 census block groups out of 605 total that are designated as being most at risk of adverse impacts from extreme heat events. To test the sensitivity of the HPI, the team used a Monte Carlo analysis using different approaches for geographic scale, variable inclusion, census uncertainty, and index aggregation. Based on the sensitivity analysis, the resulting HPI score showed the metric was consistent with the baseline HPI. This provided increased confidence the score can be used as a tool to make informed infrastructure improvement plans in targeted areas (e.g., siting of cooling centers) and ensure equitable sustainable development.