This report presents a synthesis of the findings from the Ghana EACC case study. The study benefited from close collaboration and input from various stakeholders, including government agencies, civil society organizations, and development partners. As part of the Ghana EACC study process, a series of participatory scenario development (PSD) workshops highlighted the impact of climate change on vulnerable groups and also identified and vetted adaptation strategies for further analyses. The report includes the differential impacts of climate change among different regions of the world, including Africa; an overview of the Ghanaian economy, followed by the climate projections for Ghana and the overall economic impacts; climate change impacts, the adaptation options, and the adaptation costs; and policy implications.