Pakistan faces severe economic challenges in 2023 due to huge external debt repayments of over $73 billion in the next 3 years combined with low foreign exchange reserves, requiring large-scale debt restructuring and an expanded IMF program. Political noise is also expected to remain high as general elections are scheduled for October 2023. The challenging macroeconomic situation and rising political uncertainty will likely keep Pakistan's stock market trading at low valuations with an expected PE ratio of around 3-4x through 2023 and 2024.