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The study evaluates the performance of the Conformal Cubic Atmospheric Model (CCAM) when simulating an urban heat island (UHI) over the city of eThekwini, located along the southeast coast of South Africa. The CCAM is applied at a grid length of 1 km on the panel with eThekwini, in a stretched-grid mode. The CCAM is coupled to the urban climate model called the Australian Town Energy Budget (ATEB). The ATEB incorporates measured urban parameters including building characteristics, emissions, and albedo. The ATEB incorporates the land-cover boundary conditions obtained from the Moderate Resolution Imaging Spectroradiometer (MODIS) satellite. The CCAM configuration applied realistically captured the orientation of the city and land-cover types. Simulations of meteorological variables such as temperatures and longwave radiation reproduced the spatial distribution and intensity of the UHI. Results show that the UHI is stronger during summer and weaker in all other seasons. The UHI developed because of natural factors (e.g., distribution of longwave radiation) and human factors (e.g., urban expansion, an increase in anthropogenic emissions, and additional heating). Because of the city's location along the coast, the UHI simulation could be weakened by atmospheric circulations resulting from land and sea breezes. Mitigation methods such as applying reflective paints and revegetation of the city may increase albedo and latent heat fluxes but reduce the sensible heat fluxes and weaken the UHI. However, the UHI may not be completely eliminated since natural factors and emissions constantly influence its development. Significance Statement: The outcome of this study could be particularly valuable for municipalities in their disaster management planning since the occurrence of UHIs can cause heat-related diseases such as heatstrokes and even fatalities, especially for the elderly, in cities. Increases in temperatures also lead to higher demand for air conditioners, which in the long term lead to higher demand and pressure on the electricity grid system as well as increased costs for the individual. As higher temperatures increase heatwave events, increases in anthropogenic emissions also result in degraded air quality that impacts health. UHIs impact human lives and can cause deterioration in health when individuals experience high temperatures in summer. Warmer temperatures also reduce energy demand (and in the long term assist with global environmental restoration). [ABSTRACT FROM AUTHOR]