Princess Kako made a two-day visit to Miyagi Prefecture. On May 23, 2023, Princess Kako visited the Ishinomaki Minamihama Tsunami Memorial Park in Ishinomaki, Miyagi Prefecture, and offered flowers to victims of the Great East Japan Earthquake. Japanese Princess Kako also visited the ruins of Kadonowaki Elementary School, where tsunami and fire damage can still be seen, and a tsunami museum.