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The paper concerns ice dams and glacial lake outburst floods (GLOFs) in the Karakoram. Some 146 events are identified, including 30 major disasters. Large downstream populations and major infrastructure are threatened. Risk factors differ from recent reports of other Himalayan GLOFs associated with glacier recession and global warming. Ice dams are largely or entirely active ice, put in place by advancing glaciers. Climate change is a factor, but the ice cover in the Karakoram has been sustained, and even some increase in mass. Surge-type glaciers comprise or affect similar to 70% of our inventory. The most frequent, large GLOFs come from local clusters of glaciers in five sub-basins, given special attention here. In four there were new ice dams formed since 2008 and two generated dangerous GLOFs. An urgent need arises to track short-term ice and lake behavior and how surge dynamics may be involved. Satellite images and DEMs are employed in cross-correlation feature tracking and elevation change respectively. The glaciers of interest all exhibit irregular movement, including recent advances, but with great variability and no clear relation to climatic fluctuations.