This study analyzes 2022 Texas data from the federal Centers for Disease Control and Prevention (CDC), the Federal Bureau of Investigation (FBI), and the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF). It offers year-over-year firearms mortality trend analyses by sex, age, race, and ethnicity, information on relationship and homicide circumstance, and crime gun trace data. It also offers historical data and examples of killings and other serious crimes committed by Texas concealed handgun permit holders. Included in the report are the personal stories of Texas residents impacted by lethal gun violence who are now advocates in support of gun violence prevention.