Guha et al report a score based on the ALBI (a measure of hepatic function) and FIB-4 (a measure of fibrosis) scores to evaluate a patient with compensated cirrhosis. This new score can help to identify a patient who may decompensate. The authors are from Nottingham University, University of Liverpool, Mater Misericordiae University (Dublin), University of Bologna and Menoufia University (Egypt).