<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001932525</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>


    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001446847</issuerCik>
      <issuerName>IRONWOOD PHARMACEUTICALS INC</issuerName>
      <secFileNumber>001-34620</secFileNumber>
      <issuerAddress>
        <com:street1>100 SUMMER STREET, SUITE 2300</com:street1>
        <com:city>BOSTON</com:city>
        <com:stateOrCountry>MA</com:stateOrCountry>
        <com:zipCode>02110</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>617-621-7722</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Davis Andrew</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Class A Common Stock</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>E Trade Securities LLC</name>
        <address>
          <com:street1>3 Edison Drive</com:street1>
          <com:city>Alpharetta</com:city>
          <com:stateOrCountry>GA</com:stateOrCountry>
          <com:zipCode>30005</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>6090</noOfUnitsSold>
      <aggregateMarketValue>25029.90</aggregateMarketValue>
      <noOfUnitsOutstanding>160028388</noOfUnitsOutstanding>
      <approxSaleDate>11/18/2024</approxSaleDate>
      <securitiesExchangeName>Nasdaq</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Class A Common Stock</securitiesClassTitle>
      <acquiredDate>12/07/2021</acquiredDate>
      <natureOfAcquisitionTransaction>Restricted Stock Unit award granted pursuant to the Issuer's 2019 Equity Incentive Plan, subject to vesting requirements</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Ironwood Pharmaceuticals, Inc.</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>10771</amountOfSecuritiesAcquired>
      <paymentDate>12/07/2021</paymentDate>
      <natureOfPayment>N/A</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <remarks>Shares sold to cover taxes from the vesting of stock awards granted by the Issuer.</remarks>
    <noticeSignature>
      <noticeDate>11/15/2024</noticeDate>
      <signature>/s/ Andrew Davis</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
