Kristalina Georgieva said 2023 will be "tougher" than last year as the US, EU and China see their economies slow.
It comes as the war in Ukraine, rising prices, higher interest rates and the spread of Covid in China weigh on the global economy.
In October the IMF cut its global economic growth outlook for 2023.
"We expect one third of the world economy to be in recession," Ms Georgieva said on the CBS news programme Face the Nation.
"Even countries that are not in recession, it would feel like recession for hundreds of millions of people," she added.
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