<?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>0001861926</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>SAHA SAURABH</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
        <relationshipToIssuer>CEO</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>UBS Financial Services, Inc</name>
        <address>
          <com:street1>1000 Harbor Blvd</com:street1>
          <com:street2>3rd Floor</com:street2>
          <com:city>Weehawken</com:city>
          <com:stateOrCountry>NJ</com:stateOrCountry>
          <com:zipCode>07086</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>55000</noOfUnitsSold>
      <aggregateMarketValue>933350.00</aggregateMarketValue>
      <noOfUnitsOutstanding>131845476</noOfUnitsOutstanding>
      <approxSaleDate>11/20/2024</approxSaleDate>
      <securitiesExchangeName>Nasdaq</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>06/30/2023</acquiredDate>
      <natureOfAcquisitionTransaction>Restricted ADS</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>35289</amountOfSecuritiesAcquired>
      <paymentDate>06/30/2023</paymentDate>
      <natureOfPayment>N/A</natureOfPayment>
    </securitiesToBeSold>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>09/30/2023</acquiredDate>
      <natureOfAcquisitionTransaction>Restricted ADS</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>19711</amountOfSecuritiesAcquired>
      <paymentDate>09/30/2023</paymentDate>
      <natureOfPayment>N/A</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Saurabh Saha</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 2DT</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>08/21/2024</saleDate>
      <amountOfSecuritiesSold>3674</amountOfSecuritiesSold>
      <grossProceeds>44989.23</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Saurabh Saha</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 2DT</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>08/22/2024</saleDate>
      <amountOfSecuritiesSold>506</amountOfSecuritiesSold>
      <grossProceeds>6188.38</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Saurabh Saha</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 2DT</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>08/23/2024</saleDate>
      <amountOfSecuritiesSold>46651</amountOfSecuritiesSold>
      <grossProceeds>573905.27</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Saurabh Saha</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>09/10/2024</saleDate>
      <amountOfSecuritiesSold>175000</amountOfSecuritiesSold>
      <grossProceeds>2891822.50</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Saurabh Saha</name>
        <address>
          <com:street1>3RD FLOOR, 1 ASHLEY ROAD</com:street1>
          <com:city>ALTRINCHAM, CHESIRE</com:city>
          <com:stateOrCountry>X0</com:stateOrCountry>
          <com:zipCode>WA14 2D</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>09/20/2024</saleDate>
      <amountOfSecuritiesSold>55000</amountOfSecuritiesSold>
      <grossProceeds>908985.00</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Saurabh Saha</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>WA142DT</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>10/21/2024</saleDate>
      <amountOfSecuritiesSold>22205</amountOfSecuritiesSold>
      <grossProceeds>350861.21</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Saurabh Saha</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>WA142DT</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>10/22/2024</saleDate>
      <amountOfSecuritiesSold>30203</amountOfSecuritiesSold>
      <grossProceeds>473169.26</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Saurabh Saha</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 2DT</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>10/23/2024</saleDate>
      <amountOfSecuritiesSold>2592</amountOfSecuritiesSold>
      <grossProceeds>39696.74</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Saurabh Saha</name>
        <address>
          <com:street1>3rd Floor</com:street1>
          <com:street2>Ashley Road</com:street2>
          <com:city>Altrincham, Chesire</com:city>
          <com:stateOrCountry>X0</com:stateOrCountry>
          <com:zipCode>X0 WA142DT</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>11/13/2024</saleDate>
      <amountOfSecuritiesSold>32023</amountOfSecuritiesSold>
      <grossProceeds>585418.87</grossProceeds>
    </securitiesSoldInPast3Months>
    <remarks>The transactions reported herein were effected pursuant to a Rule 10b5-1 trading plan.</remarks>
    <noticeSignature>
      <noticeDate>11/20/2024</noticeDate>
      <planAdoptionDates>
        <planAdoptionDate>05/16/2024</planAdoptionDate>
      </planAdoptionDates>
      <signature>/s/ UBS Financial Services Inc, as attorney-in-fact for Saurabh Saha</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
