Hurricane and tropical storm watches and warnings were issued along the coast of Honduras and Northeastern Nicaragua as Eta approached. More than 10,000 people went to shelters in Puerto Cabezas and surrounding villages. Eta knocked down power lines and trees while damaging roofs and causing flooding in Puerto Cabezas. At least 178 fatalities across Central America have been related to the storm, including 74 in Honduras, 53 in Guatemala, 27 in Mexico, 19 in Panama, two each in Nicaragua and Costa Rica, and one in El Salvador. Once the system began to reorganize in the Caribbean, tropical storm watches were issued on November 5, in the Cayman Islands. More watches were issued in parts of Cuba, the northwestern Bahamas, and South Florida. Eta brought heavy rainfall and gusty winds to the Cayman Islands and Cuba. South Florida was already dealing with overflowing rivers that forced evacuations. Heavy rainfall and tropical-storm force winds were recorded across all of the Florida Keys, South Florida and the southern half of Central Florida, bringing bad flooding. Eta's second landfall brought storm surge and gusty winds to the west coast of Central Florida and much needed rainfall to northern Florida. One person was killed in Florida after being electrocuted in floodwaters from Eta. Water from the storm also worked together with a cold front further to the north, bringing heavy rainfall and flash flooding to the Carolinas and Virginia, killing another five people in these states. 11 deaths were related to the storm in the U.S. Nearly $8 billion in damages have been reported across all affected areas by Eta as of December 2020.