Queen Elizabeth completed a transformative refurbishment at Seatrium's Admiralty Yard in Singapore ahead of her inaugural Alaska season from Seattle and first full Caribbean season based in Miami.

Cunard revitalized the Commodore Club, Queens Room, Garden Lounge and The Pavilion. The Queens Room received a new dance floor, furniture and soft furnishings, with its design drawing upon the Royal Palace tradition of planting mulberry trees. Outdoor decks were upgraded with additional shade on the aft deck for warm-weather cruising.

The Grills accommodation and associated guest areas received new furnishings and design details. The Grills Terrace gained new furniture, including double sunbeds. The Pavilion Wellness Café, first introduced aboard Queen Anne, was added with a menu emphasizing plant-based dishes alongside sustainably sourced meat, fish and dairy. Cunard also introduced Harper's Bazaar Wellness at Sea packages and regional food and beverage offerings developed for the ship's Alaska and Caribbean deployments.

Queen Elizabeth completed a scheduled dry dock at Sembawang Shipyard in Singapore focused on regular maintenance and technical renewal. Work included classification requirements, hotel upkeep, technical overhauls, steel work, minor machinery updates and a thorough hull cleaning. The maintenance period followed biofouling problems that had disrupted the ship's New Zealand itineraries earlier in 2023 and prepared Queen Elizabeth for her subsequent Asian, Japanese and Alaska programs