BACKGROUND AND AIMS: Patient knowledge of steatotic liver disease (SLD) is suboptimal. We assessed the impact of SLD education on patient knowledge and confidence to follow provider recommendations among a diverse vulnerable population. METHODS: In this prospective study from February 19, 2020, to January 31, 2024, 296 adults with SLD were surveyed before and after receipt of formal SLD education. Linear regression (adjusted for age, sex, race) assessed factors associated with baseline SLD knowledge score and its change after education (delta in prescores and postscores), along with confidence to follow provider recommendations following receipt of education. RESULTS: Participant characteristics were as follows: median age 53 years, 40.9% male, 55.1% Hispanic (27.0% Asian and 10.5% White), and 23.8% reported heavy alcohol use. SLD knowledge and confidence to follow provider recommendations increased posteducation (all CONCLUSION: Formal SLD education enhanced knowledge and confidence to follow provider recommendations in Hispanics and heavy alcohol users. SLD education is integral to SLD management in safety net populations.