Examine the impact of ACLF/critical illness on post-LT outcomes and complications Review the indications and criteria for referral and transfer to a liver transplant center for ACLF patients Discuss the course, outcome and resource utilization for ACLF patients receiving liver transplant from the intensive care unit Review recent data from ELITA (Europe) and UNOS regarding outcomes of LT in ACLF Be aware of the challenges in determining futility in LT and the impact on palliative care