In our center, we found that two HRD-L HNSCC patients presented with an inflamed tumor microenvironment and had a good response to PD-1 therapy. Interestingly, the higher HRD score was 31 and was a non-responder to ICI treatment....HRD-H is associated with poor outcome in HNSCC patients. Those patients may benefit from PARPi treatment rather than ICIs treatment for its non-inflamed tumor microenvironment.