This study is a novel attempt to analyze the patterns and trends of urbanization in medium to large cities in Central Asia. It encompasses a broad range of parameters, and employs an evidence-based approach to outlining strategic directions and actions for fostering green and resilient urban development. The Central Asia Regional Study on Resilient and Low-carbon Cities (CARL-Cities/Study) is an innovative attempt to systematically understand urbanization and its potential in CA. It analyzes urban growth trends in medium to large cities using comprehensive parameters and an evidence-based approach to promote green and resilient urban environments. The study enhances knowledge of local challenges and identifies actionable steps for cities across the five countries to develop low-carbon, climate-resilient cities and regions. The study conducted a comprehensive urban and spatial analysis for 48 urban areas in Central Asia, identifying key urbanization and climate-related characteristics. It assessed urban development across five main dimensions: urban form, urban services and amenities, urban environment, economic activity, and urban mobility. This report summarizes the study's key findings and recommendations.