The deaths stemming from the great famine of 1944-45, which reached its zenith in March-April 1945 in Japanese-occupied northern Vietnam, eclipsed in scale all human tragedies of the modern period in that country up until that time. The demographics vary from French estimates of 600,000-700,000 dead, to official Vietnamese numbers of 1,000,000 to 2,000,000 victims. Food security is an age-old problem, and dearth, famine, and disease have long been a scourge of mankind across the broad Eurasian landmass and beyond. While more recent understandings recognize that famines are mostly man-made, it is also true that in ecologically vulnerable zones, alongside natural disasters, war and conflict often tilts the balance between sustainability and human disaster. Allowing the contingency of natural cause as a predisposing factor for mass famine, this article revisits the Vietnam famine of 1944-45 in light of flaws in human agency (alongside willful or even deliberate neglect) as well as destabilization stemming from war and conflict. While I avoid the issue of impacts of the famine in favor of seeking cause - the human suffering of the famine has not been effaced by time. It was recorded in Hanoi newspapers at the time. It survives in local memory and in fiction by Vietnamese writers.