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What is already known about this topic? COVID-19 incidence grew sharply in Wisconsin during September–November 2020; however, the underlying cause of this rapid growth is unknown. What is added by this report? An examination of COVID-19 outbreaks in Wisconsin showed that cases linked to outbreaks on college and university campuses increased sharply in August 2020 and were followed by outbreaks in other high-risk congregate settings. Overall, outbreaks at long-term care facilities (26.8%), correctional facilities (14.9%), and colleges or universities (15.0%) accounted for the largest numbers of outbreak-associated cases in Wisconsin. What are the implications for public health practice? COVID-19 surveillance and mitigation planning should be prioritized for highly affected settings such as long-term care facilities, correctional facilities, and colleges and universities, which could represent early indicators of broader community transmission.