Using household surveys for 2008 and 2011, a multidimensional destitution measure is constructed for Pakistan's most populated province - Punjab. Using a non-monetary framework for dimensions of health, education and standard of living, the study paints a temporal picture of the extremely impoverished households in districts and towns, while highlighting the impact of the destructive 2010 floods. Results reveal the existence of pervasive destitution, with half of the multidimensionally poor households also identified as destitute. Destitution is higher for rural as compared to urban households, while the geography of destitution highlights its concentration in south-west Punjab, providing insights for targeted interventions.