PWH with HIV NAFLD, compared to PWH without HIV NAFLD, had higher mean (SD) BMI [30.5 (5.7) vs 27.7 (6.0) kg/m2], were more likely to be White (69.8% vs 44.2%), had larger waist circumference [105.7 (15.6) vs 97.3 (15.1) cm], higher ALT [37.4 (24.3) vs 22.8 (11.8) U/L], and higher AST [30.0 (16.8) vs 21.3 (7.9) U/L] (p<0.01 for all). Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.