Exhibit 32.2
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
In connection with the Quarterly Report of Satsuma Pharmaceuticals, Inc. (the “Company”) on Form 10-Q for the period ending September 30, 2021 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:
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 (1)  | 
 The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and  | 
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 (2)  | 
 The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.  | 
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 Date: November 9, 2021  | 
 
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 By:  | 
 /s/ Tom O’Neil  | 
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 Tom O’Neil  | 
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 Chief Financial Officer (Principal Financial and Accounting Officer)  |