Necroptosis is a regulated and inflammatory form of cell death. We, and others, have previously reported that necroptotic cells release extracellular vesicles (EVs). We have found that necroptotic EVs are loaded with proteins, including the phosphorylated form of the key necroptosis-executing factor, mixed lineage kinase domain-like kinase (MLKL). However, neither the exact protein composition, nor the impact, of necroptotic EVs have been delineated. To characterize their content, EVs from necroptotic and untreated U937 cells were isolated and analyzed by mass spectrometry-based proteomics. A total of 3337 proteins were identified, sharing a high degree of similarity with exosome proteome databases, and clearly distinguishing necroptotic and control EVs. A total of 352 proteins were significantly upregulated in the necroptotic EVs. Among these were MLKL and caspase-8, as validated by immunoblot. Components of the ESCRTIII machinery and inflammatory signaling were also upregulated in the necroptotic EVs, as well as currently unreported components of vesicle formation and transport, and necroptotic signaling pathways. Moreover, we found that necroptotic EVs can be phagocytosed by macrophages to modulate cytokine and chemokine secretion. Finally, we uncovered that necroptotic EVs contain tumor neoantigens, and are enriched with components of antigen processing and presentation. In summary, our study reveals a new layer of regulation during the early stage of necroptosis, mediated by the secretion of specific EVs that influences the microenvironment and may instigate innate and adaptive immune responses. This study sheds light on new potential players in necroptotic signaling and its related EVs, and uncovers the functional tasks accomplished by the cargo of these necroptotic EVs.Word count: 14969 of apoptotic bodies 61-63 . A key feature of apoptosis is the exposure of phosphatidylserine (PS) on the outer plasma membrane, which functions as an "eat me" signal, resulting in phagocytosis and clearance of apoptotic cells and bodies. We 64 and others 65,66 have previously revealed that necroptotic cells also expose PS to the outer plasma membrane prior to its rupture. We discovered that PS-exposing necroptotic cells release extracellular vesicles (EVs), which are smaller and contain a higher protein content than apoptotic bodies 64 . Endosomal sorting complexes required for transport (ESCRT) machinery is a family of proteins that plays a role in endosomal protein transport, multivesicular endosome (MVE) formation, and budding 67 . By using a dimerizable RIPK3 or MLKL system, Gong et al. revealed ESCRTIII-dependent shedding of PS-exposing plasma membrane bubbles during necroptosis. ESCRTIII-mediated membrane shedding during necroptosis delayed cell death and enabled longer inflammatory signaling 65,68 . These results underline a major knowledge gap, as the exact protein content, as well as the biogenesis and impact, of necroptotic EVs, have not yet been elucidated. EVs are cell-derived membranous structures, divided into...