Some domestic violent extremists (DVEs) will likely exploit the recent US Supreme Court decision to overturn Roe V. Wade to intensify violence against a wide range of targets. We expect violence could occur for weeks following the release, particularly as DVEs may be mobilized to respond to changes in state laws and ballot measures on abortion stemming from the decision. We base this assessment on an observed increase in violent incidents across the United States following the unauthorized disclosure in May of a draft majority opinion on the case.