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This article hypothesized that excess visceral adipose tissue (VAT), as identified by an increased VAT to subcutaneous adipose tissue (SAT) ratio (VAT/SAT), is associated with COVID-19 severity, as defined by intensive care unit (ICU) admission. There were no differences between patients with COVID-19 and control subjects in terms of age and BMI. Male sex was more prevalent among COVID-19 patients than control subjects. BMI was higher in ICU-COVID-19 versus COVID-19 subjects not requiring intensive care (nICU-COVID-19). In the overall COVID-19 population, BMI positively correlated with VAT and SAT but was unrelated to VAT/SAT ratio. Subjects with COVID19 had thicker VAT than control subjects. This difference was driven by the ICU-COVID-19 group and might suggest that visceral adiposity influences COVID-19 severity. The findings indicate that COVID-19 severity is associated with …