The Recommendations Report to the Arizona Governor on Extreme Heat Preparedness, crafted in response to the record heat of Arizona's 2023 summer, details a strategic approach to enhancing statewide preparedness and response to extreme heat. Produced by Arizona State University’s Knowledge Exchange for Resilience and mandated by Executive Order 2023-16, the report provides a thorough analysis of heat impacts on health and economic well-being, especially for vulnerable groups. It outlines four Priority Action Domains, methods for federal engagement, and 43 tailored recommendations developed through collaboration with various stakeholders and state agencies. Advocating for a robust, multisectoral strategy, the report calls for committed collaboration across all sectors to effectively manage and mitigate extreme heat impacts, aiming to establish a resilient, adaptive Arizona that can thrive in the face of increasing temperatures.