<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0002023443</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001114448</issuerCik>
      <issuerName>NOVARTIS AG</issuerName>
      <secFileNumber>001-15024</secFileNumber>
      <issuerAddress>
        <com:street1>LICHTSTRASSE 35</com:street1>
        <com:city>BASEL</com:city>
        <com:stateOrCountry>V8</com:stateOrCountry>
        <com:zipCode>CH 4056</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>01141613241111</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Gal Aharon</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>The Charles Schwab Corporation</name>
        <address>
          <com:street1>3000 Schwab Way</com:street1>
          <com:city>Westlake</com:city>
          <com:stateOrCountry>TX</com:stateOrCountry>
          <com:zipCode>76262</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>2500</noOfUnitsSold>
      <aggregateMarketValue>254825.00</aggregateMarketValue>
      <noOfUnitsOutstanding>2044033986</noOfUnitsOutstanding>
      <approxSaleDate>05/22/2024</approxSaleDate>
      <securitiesExchangeName>NYSE</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>10/27/2022</acquiredDate>
      <natureOfAcquisitionTransaction>Open Market Purchase</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Open Market</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>2500</amountOfSecuritiesAcquired>
      <paymentDate>10/27/2022</paymentDate>
      <natureOfPayment>Cash</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>05/22/2024</noticeDate>
      <signature>Aharon Gal</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
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144
0002023443
XXXXXXXX
LIVE
0001114448
NOVARTIS AG
001-15024
LICHTSTRASSE 35
BASEL
V8
CH 4056
01141613241111
Gal Aharon
Officer
Common
The Charles Schwab Corporation
3000 Schwab Way
Westlake
TX
76262
2500
254825.00
2044033986
05/22/2024
NYSE
Common
10/27/2022
Open Market Purchase
Open Market
N
2500
10/27/2022
Cash
Y
05/22/2024
Aharon Gal