In this paper, the famine that affected northern Sweden in the 1860s will be disaggregated to the local level. It focuses on Burträsk, a small rural parish in the county of West Bothnia (Västerbotten), which experienced a series of recurrent harvest failures during large parts of the 1860s which resulted in famine. The study covers the period 1851–1875, a longer time span than is traditionally associated with studies of the hunger years in 19th-century Sweden, trying to capture the long-term, cumulative, and protracted effects of the famine. This chapter discusses how the municipal bodies responded to the crisis, and the measures taken to alleviate the issues faced by the population, with a particular focus on the state loans, their distribution and the long-term consequences of the debt. Thanks to access to linked individual-level data covering the population in Burträsk, it has been possible to add demographic measures, including mortality, fertility, and population development, to the analysis of how the famine affected the population in a long-term perspective. Perhaps the most significant finding from this case study is the insight into the length and complexity of the 1860s crisis, which has often been narrowly attributed to the years 1867 and 1868. It also emphasises how the outcomes were shaped by several interacting mechanisms, including the effects of stapled crop failures, economic factors related to macro-economic stress and market decline, and epidemics.