<?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>0000316011</cik>
                    <ccc>XXXXXXXX</ccc>
                </filerCredentials>
            </filer>
        <liveTestFlag>LIVE</liveTestFlag>




                </filerInfo>
    </headerData>

     <formData>
        <issuerInfo>
            <issuerCik>0000059478</issuerCik>
			<issuerName>ELI LILLY AND CO</issuerName>


			    <secFileNumber>001-06351</secFileNumber>


			<issuerAddress>
				<com:street1>2801 NORTH MERIDIAN STREET</com:street1>
                				<com:city>INDIANAPOLIS</com:city>
				<com:stateOrCountry>IN</com:stateOrCountry>
				<com:zipCode>46208-0068</com:zipCode>
			</issuerAddress>

			<issuerContactPhone>3172762000</issuerContactPhone>
			<nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>LILLY ENDOWMENT INC</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>

			<relationshipsToIssuer>
                                                				    <relationshipToIssuer>10% Stockholder</relationshipToIssuer>

			</relationshipsToIssuer>
		</issuerInfo>

				          <securitiesInformation>
			<securitiesClassTitle>Common Stock</securitiesClassTitle>
			<brokerOrMarketmakerDetails>
				<name>Fidelity Capital Markets</name>
				<address>
				<com:street1>640 Fifth Avenue</com:street1>
                				<com:city>New York  </com:city>
				<com:stateOrCountry>NY</com:stateOrCountry>
				<com:zipCode>10019</com:zipCode>
				</address>
			</brokerOrMarketmakerDetails>
			<noOfUnitsSold>205000</noOfUnitsSold>
			<aggregateMarketValue>95083100</aggregateMarketValue>
			<noOfUnitsOutstanding>949272933</noOfUnitsOutstanding>
			<approxSaleDate>07/21/2023</approxSaleDate>
			<securitiesExchangeName>NYSE, NASDAQ</securitiesExchangeName>
		</securitiesInformation>

    		       <securitiesToBeSold>
         <securitiesClassTitle>Common Stock</securitiesClassTitle>
         <acquiredDate>02/10/1948</acquiredDate>
         <natureOfAcquisitionTransaction>Gift</natureOfAcquisitionTransaction>
                  <nameOfPersonfromWhomAcquired>J.K. Lilly Sr. Trust</nameOfPersonfromWhomAcquired>
                  <isGiftTransaction>Y</isGiftTransaction>
		             <donarAcquiredDate>01/21/1937</donarAcquiredDate>
                  <amountOfSecuritiesAcquired>38400000</amountOfSecuritiesAcquired>
                  <natureOfPayment>N/A</natureOfPayment>
      </securitiesToBeSold>

    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>


     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>04/28/2023</saleDate>
         <amountOfSecuritiesSold>225000</amountOfSecuritiesSold>
         <grossProceeds>89657617.5</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>05/02/2023</saleDate>
         <amountOfSecuritiesSold>41698</amountOfSecuritiesSold>
         <grossProceeds>17085592.88</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>05/03/2023</saleDate>
         <amountOfSecuritiesSold>178302</amountOfSecuritiesSold>
         <grossProceeds>76028721.67</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>05/12/2023</saleDate>
         <amountOfSecuritiesSold>20646</amountOfSecuritiesSold>
         <grossProceeds>9141433.55</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>05/19/2023</saleDate>
         <amountOfSecuritiesSold>194354</amountOfSecuritiesSold>
         <grossProceeds>86024267.81</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>06/15/2023</saleDate>
         <amountOfSecuritiesSold>27353</amountOfSecuritiesSold>
         <grossProceeds>12422241.86</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>06/16/2023</saleDate>
         <amountOfSecuritiesSold>25015</amountOfSecuritiesSold>
         <grossProceeds>11394287.47</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>06/20/2023</saleDate>
         <amountOfSecuritiesSold>34156</amountOfSecuritiesSold>
         <grossProceeds>15509590.64</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>06/21/2023</saleDate>
         <amountOfSecuritiesSold>31454</amountOfSecuritiesSold>
         <grossProceeds>14284308.82</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>06/22/2023</saleDate>
         <amountOfSecuritiesSold>107022</amountOfSecuritiesSold>
         <grossProceeds>49153556.46</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>06/28/2023</saleDate>
         <amountOfSecuritiesSold>11760</amountOfSecuritiesSold>
         <grossProceeds>5473169.86</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>06/29/2023</saleDate>
         <amountOfSecuritiesSold>44115</amountOfSecuritiesSold>
         <grossProceeds>20517145.37</grossProceeds>
      </securitiesSoldInPast3Months>

     <securitiesSoldInPast3Months>
         <sellerDetails>
            <name>Lilly Endowment, Inc.</name>
            <address>
               <com:street1>2801 North Meridian Street</com:street1>
                              <com:city>Indianapolis</com:city>
               <com:stateOrCountry>IN</com:stateOrCountry>
               <com:zipCode>46208</com:zipCode>
            </address>
         </sellerDetails>
         <securitiesClassTitle>Eli Lilly and Company Common Stock</securitiesClassTitle>
         <saleDate>06/30/2023</saleDate>
         <amountOfSecuritiesSold>164125</amountOfSecuritiesSold>
         <grossProceeds>76744357.63</grossProceeds>
      </securitiesSoldInPast3Months>


        <noticeSignature>
            <noticeDate>07/21/2023</noticeDate>
                        <signature>  /s/ Ben W. Blanton</signature>
        </noticeSignature>
	</formData>
    </edgarSubmission>
