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      <amendmentNo>2</amendmentNo>
      <securitiesClassTitle>Ordinary Shares, nominal value 0.002 per share</securitiesClassTitle>
      <eventDateRequiresFilingThisStatement>06/30/2026</eventDateRequiresFilingThisStatement>
      <issuerInfo>
        <issuerCik>0001847903</issuerCik>
        <issuerName>Centessa Pharmaceuticals plc</issuerName>
        <issuerCusips>
          <issuerCusipNumber>152309100</issuerCusipNumber>
        </issuerCusips>
        <issuerPrincipalExecutiveOfficeAddress>
          <street1 xmlns="http://www.sec.gov/edgar/common">3RD FLOOR, 1 ASHLEY ROAD</street1>
          <street2 xmlns="http://www.sec.gov/edgar/common">ALTRINCHAM</street2>
          <city xmlns="http://www.sec.gov/edgar/common">CHESHIRE</city>
          <stateOrCountry xmlns="http://www.sec.gov/edgar/common">X0</stateOrCountry>
          <zipCode xmlns="http://www.sec.gov/edgar/common">WA14 2DT</zipCode>
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      </issuerInfo>
      <designateRulesPursuantThisScheduleFiled>
        <designateRulePursuantThisScheduleFiled>Rule 13d-1(d)</designateRulePursuantThisScheduleFiled>
      </designateRulesPursuantThisScheduleFiled>
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      <reportingPersonName>Medicxi Growth I LP</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>Y9</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
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    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Medicxi Growth Co-Invest I LP</reportingPersonName>
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    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Medicxi Growth I GP Limited</reportingPersonName>
      <memberGroup>b</memberGroup>
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    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Medicxi Ventures I LP</reportingPersonName>
      <memberGroup>b</memberGroup>
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        <sharedDispositivePower>0</sharedDispositivePower>
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    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Medicxi Co-Invest I LP</reportingPersonName>
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        <sharedVotingPower>0</sharedVotingPower>
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        <sharedDispositivePower>0</sharedDispositivePower>
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    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Medicxi Ventures I GP Limited</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>Y9</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
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        <sharedVotingPower>0</sharedVotingPower>
        <soleDispositivePower>0</soleDispositivePower>
        <sharedDispositivePower>0</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
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    </coverPageHeaderReportingPersonDetails>
    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Medicxi Secondary I LP</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>Y9</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0</soleVotingPower>
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        <sharedDispositivePower>0</sharedDispositivePower>
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        <sharedVotingPower>0</sharedVotingPower>
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        <sharedDispositivePower>0</sharedDispositivePower>
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    <coverPageHeaderReportingPersonDetails>

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    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Medicxi Ventures Management (Jersey) Limited</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>Y9</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0</soleVotingPower>
        <sharedVotingPower>0</sharedVotingPower>
        <soleDispositivePower>0</soleDispositivePower>
        <sharedDispositivePower>0</sharedDispositivePower>
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      <typeOfReportingPerson>OO</typeOfReportingPerson>
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    <items>
      <item1>
        <issuerName>Centessa Pharmaceuticals plc</issuerName>
        <issuerPrincipalExecutiveOfficeAddress>3rd Floor, 1 Ashley Road, Altrincham Cheshire WA14 2DT United Kingdom</issuerPrincipalExecutiveOfficeAddress>
      </item1>
      <item2>
        <filingPersonName>(i) Medicxi Growth I LP ("Growth I"), a Jersey limited partnership;
(ii) Medicxi Growth Co-Invest I LP ("Growth Co-Invest I"), a Jersey limited partnership;
(iii) Medicxi Growth I GP Limited ("Growth I GP"), a Jersey limited liability company, which
 is the sole managing general partner of Growth I and Growth Co-Invest I;
(iv) Medicxi Ventures I LP ("Ventures I"), a Jersey limited partnership;
(v) Medicxi Co-Invest I LP ("Co-Invest I"), a Jersey limited partnership;
(vi) Medicxi Ventures I GP Limited ("Ventures I GP"), a Jersey limited liability company,
 which is the sole managing general partner of Ventures I and Co-Invest I;
(vii) Medicxi Secondary I LP ("Secondary I"), a Jersey limited partnership;
(viii) Medicxi Secondary Co-Invest I LP ("Secondary Co-Invest I" and, together with Growth I, Growth Co-Invest I, Ventures I, Co-Invest I and Secondary I, the "Medicxi Funds"), a Jersey limited partnership;
(ix) Medicxi Secondary I GP Limited ("Secondary I GP"), a Jersey limited liability company, which is the sole managing general partner of Secondary I and Secondary Co-Invest I; and
(x) Medicxi Ventures Management (Jersey) Limited ("Medicxi Manager"), a Jersey limited liability company, which is the sole manager of the Medicxi Funds.

Growth I, Growth Co-Invest I, Growth I GP, Ventures I, Co-Invest I, Ventures I GP, Secondary I, Secondary Co-Invest I, Secondary I GP and Medicxi Manager are sometimes individually referred to herein as a "Reporting Person" and collectively as the "Reporting Persons."</filingPersonName>
        <principalBusinessOfficeOrResidenceAddress>The address of the principal business office of each of the Reporting Persons is c/o CSC Fund Services (Jersey) Limited, 44 Esplanade, St. Helier, Jersey JE4 9WG.</principalBusinessOfficeOrResidenceAddress>
        <citizenship>See Item 2(a).</citizenship>
      </item2>
      <item3>
        <notApplicableFlag>Y</notApplicableFlag>
      </item3>
      <item4>
        <amountBeneficiallyOwned>As of June 30, 2026, none of the Reporting Persons may be deemed to beneficially own any Ordinary Shares of the Issuer.</amountBeneficiallyOwned>
        <classPercent>0.0</classPercent>
        <numberOfSharesPersonHas>
          <solePowerOrDirectToVote>0</solePowerOrDirectToVote>
          <sharedPowerOrDirectToVote>0</sharedPowerOrDirectToVote>
          <solePowerOrDirectToDispose>0</solePowerOrDirectToDispose>
          <sharedPowerOrDirectToDispose>0</sharedPowerOrDirectToDispose>
        </numberOfSharesPersonHas>
      </item4>
      <item5>
        <notApplicableFlag>Y</notApplicableFlag>
      </item5>
      <item6>
        <notApplicableFlag>Y</notApplicableFlag>
      </item6>
      <item7>
        <notApplicableFlag>Y</notApplicableFlag>
      </item7>
      <item8>
        <notApplicableFlag>Y</notApplicableFlag>
      </item8>
      <item9>
        <notApplicableFlag>Y</notApplicableFlag>
      </item9>
      <item10>
        <notApplicableFlag>Y</notApplicableFlag>
      </item10>
    </items>
    <signatureInformation>
      <reportingPersonName>Medicxi Growth I LP</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director of Manager</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Medicxi Growth Co-Invest I LP</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director of Manager</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Medicxi Growth I GP Limited</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Medicxi Ventures I LP</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director of Manager</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Medicxi Co-Invest I LP</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director of Manager</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Medicxi Ventures I GP Limited</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Medicxi Secondary I LP</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director of Manager</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Medicxi Secondary Co-Invest I LP</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director of Manager</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Medicxi Secondary I GP Limited</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Medicxi Ventures Management (Jersey) Limited</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Francois Chesnay</signature>
        <title>Francois Chesnay, Director</title>
        <date>08/04/2026</date>
      </signatureDetails>
    </signatureInformation>
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