The summer wave of Monkeypox seems to have waned six months later with cases dropping to around an annual low. The six month decline is now consistent, basing for what could possibly be another increase in the Spring and Summer months. With the continued rise of COVID and its variants, and the known damage it inflicts on the immune system, it is not outside of the realm of reason or immunology to expect case numbers to rise. The question will be, how high will they go? Past the 2022 high watermark? The US and the world will ind out in 3-6 months, and perhaps a notable trend direction change in a month or two.