Electoral “engineering” propelled Ebrahim Raisi to the presidency and further entrenched conservative rule in Iran. But the Islamic Republic’s eighth president, who campaigned on a populist agenda and officially took office on August 3, has inherited three intersecting challenges: a public health emergency, a sanctions-stricken economy, and a crisis of public confidence in government. Of the three, the COVID-19 pandemic demands the most urgent attention, as the country is experiencing is most devastating wave yet of the virus. However, the Iranian government’s mismanagement of the pandemic response to date, which has contributed to unnecessary loss of life and hardship, suggests that it may be many months before the coronavirus is contained.