This Note provides an overview of food assistance expenditure policies, quantifying and categorizing them, discussing their advantages and drawbacks, and outlining different options for targeting food-spending modalities. Generalized food price subsidies can be effective for quickly addressing price shocks, but they also tend to distort markets, are costly, and often disproportionately benefit better-off households. While food voucher programs can be more efficient in well-functioning markets, they are costly to administer and tend to be less useful in areas with poor market infrastructure. Direct in-kind food transfers can be critical during acute hunger crises but tend to be expensive and disrupt local markets if used over the long run. Design elements of food assistance programs matter. Understanding the drivers of food insecurity is key for better tailored interventions, whether addressing chronic food insecurity or responding to severe crises. Political challenges often prevail in reforming food assistance programs, particularly price subsidies, which are often seen by the public as a government obligation and can be contentious to scale down.