United States securities and exchange commission logo December 6, 2023 Sravan K. Emany Chief Financial Officer Ironwood Pharmaceuticals, Inc. 100 Summer Street, Suite 2300 Boston, MA 02110 Re: Ironwood Pharmaceuticals, Inc. Form 10-K for Fiscal Year Ended December 31, 2022 File No. 001-34620 Dear Sravan K. Emany: We have completed our review of your filings. We remind you that the company and its management are responsible for the accuracy and adequacy of their disclosures, notwithstanding any review, comments, action or absence of action by the staff. Sincerely, Division of Corporation Finance Office of Life Sciences