[[File:Imagery from Information Gathering Satellite of Japan 2024-01-04 Wajima and Suzu, Ishikawa (0104 B).jpg|250px|thumb|right|Kerusakan pada area pelabuhan di [[Suzu, Ishikawa|Suzu]], [[Prefektur Ishikawa]] akibat tsunami]]
Setidaknya 260281 orangtotal tewas,korban semuanyajiwa di [[Prefektur Ishikawa]]; termasuk; 117 orang tewas131 di [[Wajima, 112Ishikawa|Wajima]], 111 di [[Suzu, 25Ishikawa|Suzu]], 20 di Anamizu, 5sembilan di NanaoNoto, 2delapan di NotoNanao, dandua di Shika dan 1satu di Hakui.<ref name="NHK2601CMO">{{cite news|script-title=ja:【被害状況 28日】石川県で236人死亡|title=[Higai jōkyō 28-nichi] Ishikawa ken de 236-nin shibō|trans-title=[Status kerusakan ke-28] 236 orang tewas di Prefektur Ishikawa|url=https://www3.nhk.or.jp/news/html/20240128/k10014337881000.html|lang=ja|publisher=[[NHK]]|date=28 January 2024|access-date=28 January 2024}}</ref><ref name="126d">{{Cite news |date=2024-01-09 |trans-title=Gempa bumi Semenanjung Noto: 180 tewas, 19 orang masih hilang|script-title=ja:能登半島地震 死者180人 安否不明は120人に減少|title=Notohantō jishin shisha 180-ri anpi fumei wa 120-ri ni genshō|url=https://newsdig.tbs.co.jp/articles/-/930330?display=1 |access-date=2024-01-09 |work=TBS News Dig |language=ja}}</ref><ref name="126d">{{cite news |script-title=ja:能登半島地震、石川県の死者は161人に 安否不明者は103人|title=Notohantō jishin, Ishikawa ken no shisha wa 161-ri ni anpi fumei-sha wa 103-ri|trans-title=Gempa bumi Ishikawa 161 korban tewas, 560 mengalami luka serius|url=https://mainichi.jp/articles/20240108/k00/00m/040/023000c|access-date=8 January 2024 |work=Mainichi Shimbum |date=8 January 2024 }}</ref> Lima belas orang meninggal setelah kejadian tersebut karena cedera parah atau penyakit. Lebih dari 80 persen kematian disebabkan oleh runtuhnya rumah. Selain itu, dua orang tewas akibat tsunami.<ref name="NHK2601">{{cite news|script-title=ja:【被害状況 28日】石川県で236人死亡|title=[Higai jōkyō 28-nichi] Ishikawa ken de 236-nin shibō|trans-title=[Damage status: 28th] 236 people died in Ishikawa Prefecture|url=https://www3.nhk.or.jp/news/html/20240128/k10014337881000.html|lang=ja|agency=[[NHK]]|date=28 January 2024|access-date=28 January 2024}}</ref> Setidaknya 1.297 orang terluka di prefektur tersebut, 312 di antaranya luka serius.<ref name="110d1">{{cite news |script-title=ja:能登半島地震 石川県内であわせて110人の死亡を確認|title=Notohantō jishin Ishikawa ken'nai de awasete 110-ri no shibō o kakunin |trans-title=Gempa bumi Semenanjung Noto: 110 orang dikonfirmasikan tewas|url=https://www3.nhk.or.jp/news/html/20240106/k10014311621000.html |access-date=6 January 2024 |work=NHK |date=6 January 2024}}</ref>
250 bangunan di [[Prefektur Ishikawa]] dilaporkan roboh, termasuk sekolah dan rumah sakit. Di Suzu lebih dari 12,500 rumah rusak atau hancur.<ref>{{cite news |title=Japan earthquake latest: Major tsunami warning after quakes - as local residents urged to evacuate: Firefighters dealing with at least 30 collapsed buildings |url=https://news.sky.com/story/japan-earthquake-latest-major-tsunami-warning-after-quakes-as-local-residents-ordered-to-evacuate-13040241?postid=6997470#liveblog-body |access-date=1 January 2024 |agency=Sky News |date=1 January 2024 |archive-date=1 January 2024 |archive-url=https://web.archive.org/web/20240101122943/https://news.sky.com/story/japan-earthquake-latest-major-tsunami-warning-after-quakes-as-local-residents-ordered-to-evacuate-13040241?postid=6997470#liveblog-body |url-status=live }}</ref> Setidaknya 36.000 rumah tangga kehilangan aliran listrik setelah gempa bumi. Jalan retak dan saluran air rusak dilaporkan terjadi di kota Himi dan Oyabe, [[Prefektur Toyama]]. Di [[Prefektur Niigata]], tiga puluh orang mengalami luka-luka.<ref>{{cite news |title=Quake damage reported in Toyama Prefecture |url=https://www3.nhk.or.jp/nhkworld/en/news/20240101_20/ |access-date=1 January 2024 |agency=NHK |date=1 January 2024}}</ref> [[Pencairan tanah]] terjadi di [[Niigata]]; pipa saluran air pecah dan banyak rumah kehilangan pasokan air.
