Yes, fatty liver can progress to cirrhosis. This condition often advances without obvious symptoms in its initial stages and may not be detected until the liver has sustained significant damage. Treatment typically involves various medications; however, a healthy and balanced diet along with regular physical activity are fundamental approaches in managing the disease and halting its progression. The risk of cirrhosis is notably high in patients with obesity, diabetes, and those who, at the time of initial diagnosis, exhibit not only fatty liver (steatosis) but also inflammation (hepatitis) and the development of fibrous tissue (fibrosis) in the liver (this condition is known as non-alcoholic steatohepatitis, or NASH). Close monitoring of these patients and addressing the underlying issues causing the fatty liver are of great importance.