How Insensitive is the fourteenth album by American pianist and arranger Duke Pearson featuring performances by Pearson's band augmented by a choir, recorded over three sessions in 1969 and released on the Blue Note label.

The Allmusic review by Stephen Thomas Erlewine awarded the album with a 2-star rating, saying "Each song on How Insensitive boasts extravagant, layered arrangements that flirt with schmaltz, but the voicings and attack are so unusual, the result is a weird variation on easy listening. There is little opportunity for Pearson to showcase his tasteful playing through improvisation, yet the arrangements are so off-kilter, the music never quite works as background music. In other words, it's a very interesting failure and one of the strangest by-products of Blue Note's late-'60s commercialization".

All compositions by Duke Pearson except were noted