Beginning in the late 1990s, an unusual cluster of beak deformities was observed among Buteo jamaicensis (Red-tailed Hawk) in the Pacific coastal region of North America. However, information was not available to determine the scope of this problem nor to assess a potential link between beak deformities in hawks and avian keratin disorder (AKD), an emerging disease primarily among passerines that causes overgrowth of the keratinized layer of the beak. To help address these knowledge gaps, we compiled capture records, citizen science reports, and other available data from across North America. As part of a long-term raptor monitoring program in Washington, we detected anomalously high rates of beak deformities in 29% and other keratin abnormalities in an additional 19% of B. jamaicensis between 2014 and 2021. We also identified more than 100 other AKD-like cases in B. jamaicensis, largely clustered in the Pacific coastal region, with most reports from 2000 to present. Pathologic examination of affected hawks revealed gross and microscopic features consistent with AKD in passerines, while shared epidemiological patterns, including timing of emergence, provided further evidence that this disease may impact an ecologically diverse suite of species. We detected poecivirus, a novel avian virus implicated as a likely cause of AKD in Poecile atricapillus (Black-capped Chickadee), in 1 out of 10 swabs collected from live B. jamaicensis, with gross beak deformities, suggesting the possibility of a shared viral etiology across species. However, additional work would be needed to determine the underlying cause of beak deformities in and their potential impacts on B. jamaicensis. By documenting this cluster of beak deformities, we hope to raise awareness among the ornithological community, including raptor researchers, to better track current and future outbreaks of beak deformities and related conditions.