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Only since the turn of the 21st century have humanitarian organisations developed specific strategies that address climate change impacts as a humanitarian challenge. Taking the International Red Cross / Red Crescent Movement, being the largest humanitarian network, as an empirical case study, the article discusses the Movement’s changes in the areas 1) agenda setting, 2) organisational restructuring, 3) networking, 4) programming, and 5) advocacy. Based on the case study and a theoretical framework of organisational sociology, the article provides conclusions on internal and external factors that can explain why the Movement has been successful in being one of the first actors within the organisational field of humanitarian organisations to focus systematically on the humanitarian implications of climatic changes.