We examine the impact of flooding in Pakistan on child health using satellite data and two household datasets. Flooding may influence child health, as measured by weight-for-height z-score, through two key channels. First, excessive flood waters can catalyze the spread of diarrheal disease, negatively impacting child health. Second, excessive flood waters - even when damaging in some areas - provide water to rice paddies and other agriculture, increasing food availability in the post-flood period. This may positively influence child health. In Pakistan, we find evidence of both channels: floods increase incidence of morbidity (diarrhea and fever) as well as meal frequency in the post flood season. We also find that floods increase dietary diversity, but only in districts with high rice harvesting intensity where flooding may predict favorable growing conditions. Because these mechanisms (disease incidence and dietary adequacy) act against one another, we find weak overall impact of floods on child health. (c) 2021 Elsevier Ltd. All rights reserved.