Maharashtra has emerged as the epicentre of the COVID-19 pandemic. In the trade-off between lockdowns to flatten the infection curve and saving an already slow economy, there is a significant human cost, thus exposing and deepening the existing structural inequalities. The article maps and analyses the impact of the first wave of the COVID-19 pandemic and the subsequent lockdown based on the three dimensions of human development—health and nutrition, education, and livelihood. Given the acute shortage of food supplies for certain groups during the period, the article examines the government response by analysing the implementation of food programmes.