This document provides an overview of the contributions of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. It discusses the framing of climate change risks and opportunities in interaction with adaptation, mitigation and sustainable development. The assessment includes over 500,000 review comments from 308 authors across 70 countries. It finds widespread observed impacts of climate change around the world and increased risks to food and water security, health, coastal flooding and poverty with continued high emissions and warming. The report also examines regional vulnerabilities and opportunities for additional adaptation to reduce risks in Southeast Asia, South Asia and the Lower Mekong Basin.