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Fatty liver disease means you have extra fat in your liver. It is also called hepatic steatosis.Heavy drinking makes you more likely to get it. Over time, too much alcohol leads to a buildup of fat inside your liver cells. This makes it harder for your liver to work.But you can get fatty liver disease even if you don't drink a lot of alcohol.Simple fatty liver: This means you have fat in your liver, but you may not have any inflammation in your liver or damage to your liver cells. It usually doesn't get worse or cause problems with your liver. Most people with NAFLD have simple fatty liver.