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High temperatures and heatwaves can cause large societal impacts by increasing health risks, mortality rates, and personal discomfort. These impacts are exacerbated in cities because of the Urban Heat Island (UHI) effect, and the high and increasing concentrations of people, assets and economic activities. Risks from high temperatures are now widely recognised but motivation and implementation of proportionate policy responses is inhibited by inadequate quantification of the benefits of adaptation options, and associated uncertainties. This study utilises high spatial resolution probabilistic projections of urban temperatures along with projections of demographic change, to provide a probabilistic risk assessment of heat impacts on urban society. The study focuses on Greater London and the surrounding region, assessing mortality risk, thermal discomfort in residential buildings, and adaptation options …