We report the findings of the 2024 Multilingual Lexical Simplification Pipeline shared task. We released a new dataset comprising 5,927 instances of lexical complexity prediction and lexical simplification on common contexts across 10 languages, split into trial (300) and test (5,627). 10 teams participated across 2 tracks and 10 languages with 233 runs evaluated across all systems. Five teams participated in all languages for the lexical complexity prediction task and 4 teams participated in all languages for the lexical simplification task. Teams employed a range of strategies, making use of open and closed source large language models for lexical simplification, as well as feature-based approaches for lexical complexity prediction. The highest scoring team on the combined multilingual data was able to obtain a Pearson’s correlation of 0.6241 and an ACC@1@Top1 of 0.3772, both demonstrating that there is still room for improvement on two difficult sub-tasks of the lexical simplification pipeline.