Alcohol misuse is associated with significant energy deficits. As feeding involves multiple sensory, cognitive, and affective processes, low food intake in problem drinkers likely reflects alterations in both regional and interregional responses. To investigate the effects of problem drinking on feeding-related neural activities and connectivities, we examined functional magnetic resonance imaging (fMRI) data in 82 drinkers who viewed palatable food and nonfood images in alternating blocks. Drinking severity was assessed with the Alcohol Use Disorders Identification Test (AUDIT). A wholebrain multiple regression with AUDIT scores as the predictor showed a negative correlation between drinking severity and activation to food vs nonfood cues in the lateral orbitofrontal cortex (lOFC). AUDIT scores were also negatively correlated with the gray matter volume (GMV) of the lOFC and regions that responded preferentially to food stimuli, including the left middle frontal gyrus, bilateral middle insula, and occipital cortices. Connectivity strength between the lOFC and these regions was negatively modulated by drinking severity. In contrast, there was no relationship between AUDIT scores and lOFC connectivity with regions that did not show either selectivity to food images or GMV loss. A mediation analysis further suggested that alcohol misuse may have compromised lOFC's structural integrity, which in turn disrupted lOFC interactions with regions that support the processing of visual food cues. Overall, the findings provide evidence for the effects of problem drinking on the brain substrates of feeding, potentially shedding light on the neural mechanisms underlying energy deficits in at-risk drinkers. KEYWORDS alcohol misuse, food cue processing, food intake, functional connectivity, gray matter volume, lateral orbitofrontal cortex 1 | INTRODUCTION Contrary to the short-term stimulating effects of acute alcohol ingestion on food consumption in casual drinkers, heavy drinking has been associated with depressed appetite, 2 low food consumption, 3 and decreased meal frequency, 1 leading to energy deficits. As feeding ensures organisms' survival, reduced food intake despite energy deficits likely reflects powerful changes in the neural substrates supporting feeding behavior. Indeed, excessive alcohol use has been associated with gray matter volume (GMV) loss in multiple brain regions involved in the regulation of food intake including the orbitofrontal, insular, medial prefrontal, and occipital cortices. 4-6 Previous research has implicated such regions in the reward, 7 cognitive control, 8 taste, 9 and visual processing of food stimuli, 10 respectively. Together, these