Following adjustment for clinical covariates positive in univariate analysis, multivariate analysis confirmed NASH-HCC (HR 0.64; 95% CI 0.48-0.86; P = 0.0028) as independent favorable prognostic factors for OS, with ALBI grade 1, absence of extrahepatic spread, neutrophil-to-lymphocyte ratio <3, absence of portal vein thrombosis, ECOG PS 0 and alpha-fetoprotein <400 (Table 2). Here, AFP is linked to metabolic dysfunction-associated steatohepatitis.