In 1867–1868 northern Sweden suffered from a famine that has not gained much scholarly interest. Here we study how this famine was relieved in Västerbotten county. We use unique regional and local administrative sources alongside other contemporary reports. Our results show that the relief quantities coming into Västerbotten county were significant, in proportion to the size of the population, the depth of the harvest failure, and in relation to historical state aid. In addition, we reveal the complex interplay between the state, market, and civil society that, at least on the county level, contributed to a seemingly efficient administration for alleviating the effects of harvest failure. However, our results point to bottlenecks in the administration of relief at the local municipal level, which call for further investigations.