During the spring 2015 sampling efforts on the Missouri River, several adult pallid sturgeon (Scaphirhynchus albus) were captured in a visually emaciated condition. As pallid sturgeon recovery efforts continue throughout the Missouri River, this may negatively impact the local population and hamper recovery. Therefore, the objectives were to (1) assess the annual variation in pallid sturgeon condition, (2) determine how condition varies amongst gender and reproductive status and if condition affects fecundity, (3) determine the annual proportion of reproductive female pallid sturgeon, and (4) test several hypothesized factors which may contribute to variations in pallid sturgeon condition. Overall, the relative condition of pallid sturgeon has significantly declined over the past 12 years, except for the large adult-sized fish (> 840 mm fork length). Pallid sturgeon condition began to decline in 2013 then rapidly declined in 2014 and even more in 2015. The mean annual pallid sturgeon condition reached record lows in 2015. Females had a higher overall Kn compared to males and sexually reproductive fish had a significantly higher Kn for both genders. Overall, 28% of the females captured have been in reproductive condition; however, that frequency appears to be declining with condition. Also, relative condition was not correlated with the number of eggs released by reproductively ready females. Correlation between pallid sturgeon condition and hypothesized variables did not result in any statistically significant relationships that would explain the variations in pallid sturgeon condition. As pallid sturgeon recovery continues throughout the lower Missouri River, concern arises over whether or not the current habitat available and river management can support a viable pallid sturgeon population.