Abstract : Local food-based Ready to Use Therapeutic Food (RUTF) is a therapeutic food with local food sources of tempeh flour and pumpkin flour to improve the nutritional status of malnourished and deficient toddlers who have a composition of energy, protein, fat, vitamin A and iron. This study aims to determine the effect of local food-based RUTF crackers on the nutritional status of malnourished toddlers. Quasi Experiment research design with controlled pre-posttest design. The study population was all toddlers aged 13-60 months with malnutrition status. The sample was selected according to the criteria for each treatment and control group as many as 18 people (total 36 people). The intervention in the treatment group was giving RUTF crackers based on local food 50 grams per day and nutrition education. The control group was given 50 grams of PMT biscuits per day from the Puskesmas and nutrition education. Analysis using independent t-test and using the Mann-Whitney test’. There was an effect of giving RUTF crackers on the increase in z score of weight / height between the treatment group and the control group (p = 0.010). Giving RUTF crackers can increase body weight, so it is recommended that toddlers continue to consume balanced nutritional foods as needed because PMT is complementary not a substitute