463 Liver failure occurs either as acute liver failure (ALF) developing de novo or as acute decompensation of chronic liver disease (ACLF). The clinical manifestations are fairly similar characterised by multiorgan dysfunction characterised by encephalopathy (HE), hypotension, and renal failure (HRS).1,2 Unlike chronic decompensation of end-stage liver disease, ALF and ACLF are potentially reve...