The projected heat-related deaths highlight the severe impact of extreme temperatures on vulnerable populations in India. Regions with limited access to cooling facilities and healthcare systems are expected to bear the brunt of the mortality increase. The 'Super El Niño' could exacerbate existing health challenges, particularly for the elderly, children, and those with pre-existing conditions. The study underscores the urgent need for adaptive measures to mitigate the risks associated with prolonged heat exposure.