This brief report outlines how Ghent, Belgium, performs on a selection of spatial and policy indicators of healthy and sustainable cities. Our collaborative study examined the spatial distribution of urban design and transport features and the presence and quality of city planning policies that promote health and sustainability for 25 cities across 19 countries. Full report including data, methods and study limitations has been published as: The Lancet Global Health Series on urban design, transport, and health. 2022. https://www.thelancet.com/series/urban-design-2022 Reports and scorecards summarising spatial and policy indicators of healthy and sustainable urban design and planning with comparisons for all 25 cities included in the study are available from the Global Observatory of Healthy and Sustainable Cities, https://www.healthysustainablecities.org/ . Study executive Deepti Adlakha, Jonathan Arundel, Geoff Boeing, Ester Cerin, Billie Giles-Corti, Carl Higgs, Erica Hinckson, Shiqin Liu, Melanie ...