21Numerous DNA double-strand breaks (DSBs) arise genome-wide during meiosis to ensure 22 recombination between homologous chromosomes, which is required for gamete formation 1,2 . The 23 ATM kinase plays a central role in controlling both the number and position of DSBs 3-5 , but the 24 consequences of deregulated DSB formation have not been explored. Here we discovered that an 25 unanticipated type of DNA deletion arises at meiotic recombination hotspots in the absence of ATM. 26 Deletions form via joining of ends from two closely-spaced DSBs at adjacent hotspots or within a 27 single hotspot. Deletions are also detected in normal cells, albeit at much lower frequency, revealing 28 that the meiotic genome has a hidden potential for deletion events. Remarkably, a subset of deletions 29 contain insertions that likely originated from DNA fragments released from hotspots on other 30 chromosomes. Moreover, although deletions form primarily within one chromosome, joining between 31 homologous chromosomes is also observed. This predicts in turn gross chromosome rearrangements, 32 with evidence of damage to multiple chromatids and aborted gap repair. Thus, multiple nearby meiotic 33 DSBs are normally suppressed by ATM to protect genomic integrity. We expect the de novo germline 34 mutations we observe to affect human health and genome evolution. 35 36 37 38 39 40 41 42 43 44 45 48 hotspots 7,8 , usage of which is tightly regulated. Of all DSB hotspots (~15,000 defined in mouse), only a 49 tiny fraction (~250) experiences a DSB in any single meiosis 9-11 . DSBs are also nonrandomly dispersed 50 along chromosomes to ensure homolog pairing and recombination 3 . This quantitative and spatial 51 regulation of hotspot usage involves hierarchical and combinatorial levels of control 9,12,13 , with the 52 ATM kinase playing a central role 5,14 .53 ATM, known for its role in the DNA damage response in mitotic cells 15 , is activated by meiotic 54 DSBs to limit DSB numbers and to control hotspot usage genome-wide 4,9 . Control of DSB numbers by 55 ATM and its orthologs is conserved among organisms, although ATM-deficient mice have the largest 56 increase in DSB levels (e.g., ~10 fold compared with ~2 fold in budding yeast deficient for the ATM 57 ortholog Tel1) 5,16,17 . Control of genome-wide DSB distributions is also conserved 18 . In yeast, Tel1 58 controls DSB formation locally by suppressing double cutting, that is, simultaneous DSB formation at 59 adjacent hotspots 14,19 . This suppression is strongest at closely-spaced hotspots (<10 kb), such that in 60 the absence of Tel1, double cutting at hotspots separated by ~2 kb is more frequent than expected by 61 chance and ~10-fold higher than in wild type. The loss of this Tel1-mediated DSB suppression is 62 thought to contribute to the global increase in DSBs 18,19 . In mouse, double cutting at adjacent hotspots 63 has not been demonstrated, but potentially may be even more likely in the absence of ATM, 64 considering the extremely elevated DSB numbers. Accordingly, w...