The objective of this paper is to provide technical information and lessons learned to support the United States Agency for International Development (USAID) and its partners to effectively design and implement emergency food assistance programs in urban and peri-urban settings. Although food assistance needs in urban and peri-urban areas are expected to require increased resources in the coming years, most experience with food-based programs is in rural areas. Against this backdrop, USAID's Office of Food for Peace Occasional Paper No. 6, Emergencies in Urban Settings: A Technical Review of Food-Based Program Options, examines 11 common food-based programs to highlight advantages, disadvantages, targeting and implementation modalities in the urban context. The paper also presents tools to help determine the most appropriate interventions and approaches for given settings. \nSupport for the development of the guide was provided by USAID's Bureau for Democracy, Conflict and Humanitarian Assistance's Office of Food for Peace and Bureau for Global Health's Office of Health, Infectious Disease and Nutrition.