This chapter examines the links between structural and acute violence through a focus on the city of Aleppo prior to and as a result of the Syrian civil war. The author describes the mechanisms of state-induced structural violence alongside the acute manifestations of violence, illustrating their intertwined effects on the community's resilience and social bonds and the physical city itself. The chapter examines the mechanisms of state-induced structural violence. This includes the role of the regime of former President Bashar al-Assad in fostering a climate of fear and repression through systematic violence and coercion, leading to dire consequences for Aleppo’s social fabric, its people, and its physical infrastructure.