Anthropogenic biodiversity loss is extreme in amphibians. Despite ongoing conservation action, it is difficult to determine where we stand in overcoming their extinction crisis 1,2. Extinction risk is not equally distributed across amphibians 3-5. Among the most threatened amphibians are the 131 Neotropical harlequin toads (Atelopus), many of which dramatically declined since the late 1980s with several considered possibly extinct 5,6. Recently, more than 30 species have been rediscovered7, raising hope for a reversing trend in the amphibian extinction crisis. We use harlequin toads, for which comprehensive past and present population status, threat and conservation action data are available, as a model for examining whether the amphibian extinction crisis is still in a state of emergency. We show that since 2004 no species has improved its population status, suggesting that the conservation community has not yet bent the curve. Threats such as pathogen spread and habitat change persist unabated; additionally, climate change is expected to be a future threat. More on-the-ground mitigation strategies need implementation, especially habitat protection and disease management, combined with captive conservation breeding. With harlequin toads serving as a model for amphibians with high extinction risk, it is clear that the amphibian extinction crisis is still underway.