evidence: This is a multicenter retrospective study of 68 consecutive COVID-19 autopsies performed in 3 centers (New York Presbyterian-Weill Cornell Medicine—WCMC, NYC, USA (n = 23), Mount Sinai Hospital—MSH, NYC, USA (n = 25) and University Hospital of Padova—UHP, IT (n = 20))—and conducted in accordance with the principles of the Declaration of Helsinki and approved by local Medical Ethical Committee of the three referral centers. Written informed consent for autopsy study was obtained from next of kin and this was the sole selection criterion. According to the New Coronavirus Pneumonia Prevention and Control Program (7th edition), the diagnosis of COVID-19 was confirmed by nucleic acid testing of nasopharyngeal swabbed secretion, radiologic features of viral pneumonia, and clinical symptoms. Relevant laboratory values were recorded; however, several patients died prior to laboratory testing. [...] Borczuk, A.C., Salvatore, S.P., Seshan, S.V. et al. COVID-19 pulmonary pathology: a multi-institutional autopsy cohort from Italy and New York City.