To The Editor, Assessment of coagulopathy in disseminated intravascular coagulation (DIC) is challenging, and the diagnosis is largely reliant on laboratory findings. 1 However, no single laboratory test is entirely predictive of DIC. Viscoelastic hemostatic assays (VHA) such as thromboelastography (TEG) and rotational thromboelastometry (ROTEM or TEM), which assess whole blood clot kinetics, have shown significant potential for the diagnosis of DIC [ . 2 In this systematic review, we assessed VHA role in predicting sepsis-induced DIC. Electronic searches in PubMed and Google Scholar were conducted through April 30, 2020. Search key words included coagulopathy, DIC, sepsis, TEG, ROTEM, and TEM. Results were selected for randomized control trials, prospective, and retrospective cohort studies describing the ability of VHAs to detect/predict the onset of DIC in sepsis. This systematic review was designed according to current PRISMA guidelines. 3 Details of the 15 included