The Second Conrad Sangma ministry is formed after the swearing-in ceremony held on 7 March 2023. Governor Phagu Chauhan took oath of Chief Minister and 11 other ministers. Conrad Sangma took oath as Chief Minister for second consecutive term and became the first to do so in electoral history of Meghalaya.
After the results declared of 2023 Meghalaya Legislative Assembly election, no party got majority in the house. Later BJP, HSPDP, PDF, UDP, and Independent MLAs supported NPP led Meghalaya Democratic Alliance.
With 45 MLAs, the government was formed under Conrad Sangma along with 11 ministers (7 NPP, 2 UDP, 1 each of BJP and HSPDP). Swearing ceremony was held on 7 March 2023. Prime Minister Narendra Modi, Union Home Minister Amit Shah along with Assam Chief Minister and NEDA convenor Himanta Biswa Sarma were also present in the ceremony.