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While scholarship has identified LGBTQ + youths' increased risk of overt online victimization, specific forms and particular effects of covert prejudice and discrimination have not been examined. This study explored psychophysiological reactions to, and impacts of, digital microaggressions on LGBTQ + youth (aged 14–24) utilizing cross-sectional qualitative data (n = 1179). The Transactional Model of Stress and Coping was employed to inform study design and analyses. Microaggressions were depicted in a digital vignette and reactions were collected via open-ended survey responses. Analyses indicate that LGBTQ + youth frequently experience digital microaggressions. These experiences result in three main response types: (1) cognitive responses and coping behaviors; (2) emotional responses and coping strategies; and (3) physiological responses and coping strategies. Participants' psychological and physiological responses to digital microaggressions included a variety of internalizing and externalizing appraisals and impacts, including identity-specific effects. Results provide knowledge on LGBTQ + youths' experiences of hostile online climates, with the potential to enhance research and practice. [ABSTRACT FROM AUTHOR]