Crisis communication during natural disasters holds a substantial significance, especially for underdeveloped countries where information infrastructures are weak. The 2022 floods in Pakistan have led to one of the most extensive humanitarian crises. National Disaster Management Authority(NDMA)used X as one of the key digital platforms to provide timely situational updates and ongoing relief efforts. Nevertheless, a concurrent surge of misinformation distorted public understanding. Using existing studies on crisis communication, this study examines NDMA’s disaster response communication on Twitter during the 2022 floods, along with the effects of misinformation. The research employs qualitative content analysis and a theory-guided approach. Insights from secondary evidence suggest that NDMA has recurrently posted updates, lining up with efficient crisis communication practices. Information access disparities, insufficient prebunking, and minimal proactive fact-checking obstructed reach and impact. The research concludes by outlining key recommendations for proactive communication, multilingual dissemination strategy, enhanced data transparency, and partnering with fact-checking organizations.