diff --git a/rfc/4/index.md b/rfc/4/index.md
index 7baeaa5b6..fbe745887 100644
--- a/rfc/4/index.md
+++ b/rfc/4/index.md
@@ -13,7 +13,7 @@ Summary: An optional, explicit field for specification of imaging axis orientati
 
 ## Status
 
-This RFC is currently in RFC state `R4` (authors prepare responses).
+This RFC is currently in RFC state `S1` (Accepted).
 
 ```{list-table} Record
 :widths: 8, 20, 20, 20, 15, 10
diff --git a/rfc/4/reviews/3/index.md b/rfc/4/reviews/3/index.md
index a7befd0b1..28fdfedef 100644
--- a/rfc/4/reviews/3/index.md
+++ b/rfc/4/reviews/3/index.md
@@ -1,4 +1,4 @@
-# **RFC-4: Review 3**
+# RFC-4: Review 3
 
 (rfcs:rfc4:review3)=
 
@@ -7,6 +7,7 @@
 * [https://ngff.openmicroscopy.org/rfc/1/templates/review\_template.html](https://ngff.openmicroscopy.org/rfc/1/templates/review_template.html)
 
 **Review Authors**: Dave Horsfall
+
 **Conflicts of Interest**: None declared
 
 This review was primarily generated through discussions during a Hannifa Lab meeting, which involved diverse roles, including wet lab scientists, clinicians, bioinformaticians, data scientists, and engineers. I have tried to capture the key points of discussion in this review.
diff --git a/rfc/4/reviews/3b/index.md b/rfc/4/reviews/3b/index.md
new file mode 100644
index 000000000..042d31830
--- /dev/null
+++ b/rfc/4/reviews/3b/index.md
@@ -0,0 +1,13 @@
+# RFC-4: Review 3b
+
+## Review authors
+
+Dave Horsfall
+
+## Conflicts of interest
+
+None declared.
+
+## Recommendation
+
+Accept
diff --git a/rfc/listing.csv b/rfc/listing.csv
index 6c03e497e..e131ee737 100644
--- a/rfc/listing.csv
+++ b/rfc/listing.csv
@@ -3,7 +3,7 @@ RFC,Description,Date,Status,OME-Zarr Version
 [1](1/index.md),RFC Process,2024,Adopted,N/A
 [2](2/index.md),Zarr V3 Support,2024,Adopted,0.5
 [3](3/index.md),Remove axis restrictions,2024,Under review,
-[4](4/index.md),Axis Anatomical Orientation,2024,Under review,
+[4](4/index.md),Axis Anatomical Orientation,2024,Accepted,
 [5](5/index.md),Coordinate systems and transformations,2024,Implementation,
 [6](6/index.md),Flattening the multiscales array,2025,Superseded,
 [7](7/index.md),Channel provenance,TBD,TBD,