<?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>0002074392</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001847903</issuerCik>
      <issuerName>Centessa Pharmaceuticals plc</issuerName>
      <secFileNumber>001-40445</secFileNumber>
      <issuerAddress>
        <com:street1>3RD FLOOR</com:street1>
        <com:street2>1 ASHLEY ROAD</com:street2>
        <com:city>ALTRINCHAM, CHESHIRE</com:city>
        <com:stateOrCountry>X0</com:stateOrCountry>
        <com:zipCode>WA14 2DT</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>44 7391 789784</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Accardi Mario Alberto</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>UBS Financial Services, Inc</name>
        <address>
          <com:street1>Eleven Madison Avenue</com:street1>
          <com:street2>4th Floor</com:street2>
          <com:city>New York</com:city>
          <com:stateOrCountry>NY</com:stateOrCountry>
          <com:zipCode>10010</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>10000</noOfUnitsSold>
      <aggregateMarketValue>300000.00</aggregateMarketValue>
      <noOfUnitsOutstanding>134447836</noOfUnitsOutstanding>
      <approxSaleDate>12/08/2025</approxSaleDate>
      <securitiesExchangeName>Nasdaq</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>01/02/2020</acquiredDate>
      <natureOfAcquisitionTransaction>Founders Shares</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>5000</amountOfSecuritiesAcquired>
      <paymentDate>01/02/2020</paymentDate>
      <natureOfPayment>NA</natureOfPayment>
    </securitiesToBeSold>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>12/08/2025</acquiredDate>
      <natureOfAcquisitionTransaction>Exercise of stock options</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>5000</amountOfSecuritiesAcquired>
      <paymentDate>12/08/2025</paymentDate>
      <natureOfPayment>Cash</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Mario Alberto Accardi</name>
        <address>
          <com:street1>3RD FLOOR, 1 ASHLEY ROAD</com:street1>
          <com:city>ALTRINCHAM, CHESHIRE</com:city>
          <com:stateOrCountry>X0</com:stateOrCountry>
          <com:zipCode>WA14 2DT</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>09/09/2025</saleDate>
      <amountOfSecuritiesSold>7000</amountOfSecuritiesSold>
      <grossProceeds>140000.00</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Mario Alberto Accardi</name>
        <address>
          <com:street1>3RD FLOOR</com:street1>
          <com:street2>1 ASHLEY ROAD</com:street2>
          <com:city>ALTRINCHAM, CHESHIRE</com:city>
          <com:stateOrCountry>X0</com:stateOrCountry>
          <com:zipCode>WA14 2D</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>09/16/2025</saleDate>
      <amountOfSecuritiesSold>8172</amountOfSecuritiesSold>
      <grossProceeds>174846.48</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Mario Alberto Accardi</name>
        <address>
          <com:street1>3RD FLOOR, 1 ASHLEY ROAD</com:street1>
          <com:city>ALTRINCHAM, CHESHIRE</com:city>
          <com:stateOrCountry>X0</com:stateOrCountry>
          <com:zipCode>WA14 2D</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>10/27/2025</saleDate>
      <amountOfSecuritiesSold>8000</amountOfSecuritiesSold>
      <grossProceeds>200000.00</grossProceeds>
    </securitiesSoldInPast3Months>
    <remarks>The transactions reported herein were effected pursuant to a Rule 10b5-1 trading plan.</remarks>
    <noticeSignature>
      <noticeDate>12/08/2025</noticeDate>
      <planAdoptionDates>
        <planAdoptionDate>02/14/2025</planAdoptionDate>
      </planAdoptionDates>
      <signature>/s/ UBS Financial Services Inc, as attorney-in-fact for Mario Alberto Accardi</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
