This policy brief was produced to share insights on how the Nepalgunj City in Nepal could improve its preparedness for extreme heat through existing and new policies and plans. It provides a summary of existing policy frameworks that may be used to address heat; highlights potential gaps and makes recommendations for how heat can be better integrated into policies and plans on both short-term (days to months) and long-term (5+ years) timescales. It is based on desk-based research and key stakeholder interviews with city, disaster management, and health officials in Nepalgunj City.