The UK Government has entered a cruel and unconscionable agreement, which will forcibly remove people who have come to the UK seeking safety and protection to Rwanda, with no return to the UK. Vulnerable asylum seekers are already paying the human cost of the agreement, before any removals have taken place. The agreement has been widely condemned by the UN High Commissioner for Refugees, parliamentary committees, campaigners, legal bodies and medical experts. The Government has been criticised for undermining the asylum system by shirking its international responsibility and challenged on the legality of this agreement. This report provides detail on 36 people Medical Justice has worked with, who arrived in the UK since mid-May 2022 and who have been selected for removal to Rwanda. It shines a light on the processes they have been subjected to in UK immigration removal centres before potential removal, and details the severe impact on their health and well-being.