<?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>0001198325</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>


    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001711279</issuerCik>
      <issuerName>Krystal Biotech, Inc.</issuerName>
      <secFileNumber>001-38210</secFileNumber>
      <issuerAddress>
        <com:street1>2100 WHARTON STREET</com:street1>
        <com:street2>SUITE 701</com:street2>
        <com:city>PITTSBURGH</com:city>
        <com:stateOrCountry>PA</com:stateOrCountry>
        <com:zipCode>15203</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>(412) 586-5830</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>JANNEY DANIEL</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Director</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>COMMON</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>MERRILL LYNCH</name>
        <address>
          <com:street1>555 CALIFORNIA ST</com:street1>
          <com:city>SAN FRANCICSCO</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>94104</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>50000</noOfUnitsSold>
      <aggregateMarketValue>6400000.00</aggregateMarketValue>
      <noOfUnitsOutstanding>25799738</noOfUnitsOutstanding>
      <approxSaleDate>06/08/2023</approxSaleDate>
      <securitiesExchangeName>NASDAQ</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>COMMON</securitiesClassTitle>
      <acquiredDate>08/25/2017</acquiredDate>
      <natureOfAcquisitionTransaction>PRIVATE PURCHASE</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>ISSUER -  KRYSTAL BIOTECH</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>50000</amountOfSecuritiesAcquired>
      <paymentDate>08/25/2017</paymentDate>
      <natureOfPayment>CASH</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>DANIEL JANNEY - ALTA BIOEQUITIES, LP</name>
        <address>
          <com:street1>C/O KRYSTAL BIOTECH</com:street1>
          <com:street2>2100 WHARTON ST, STE 701</com:street2>
          <com:city>PITTSBURGH</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15203</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>COMMON</securitiesClassTitle>
      <saleDate>04/19/2023</saleDate>
      <amountOfSecuritiesSold>7900</amountOfSecuritiesSold>
      <grossProceeds>713166.00</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>DANIEL JANNEY - ALTA BIOEQUITIES, LP</name>
        <address>
          <com:street1>C/O KRYSTAL BIOTECH</com:street1>
          <com:street2>2100 WHARTON ST, STE 701</com:street2>
          <com:city>PITTSBURGH</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15203</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>COMMON</securitiesClassTitle>
      <saleDate>05/09/2023</saleDate>
      <amountOfSecuritiesSold>17100</amountOfSecuritiesSold>
      <grossProceeds>1550877.00</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>DANIEL JANNEY - ALTA BIOEQUITIES, LP</name>
        <address>
          <com:street1>C/O KRYSTAL BIOTECH</com:street1>
          <com:street2>2100 WHARTON ST, STE 701</com:street2>
          <com:city>PITTSBURGH</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15203</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>COMMON</securitiesClassTitle>
      <saleDate>05/19/2023</saleDate>
      <amountOfSecuritiesSold>50000</amountOfSecuritiesSold>
      <grossProceeds>4749141.00</grossProceeds>
    </securitiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>06/08/2023</noticeDate>
      <signature>DANIEL JANNEY - ALTA BIOEQUITIES, LP</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
