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Income tax expense - Summary of Difference Between Effective Tax Rate and Standard Corporate Income Tax Rate (Details)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Income Taxes [Abstract]      
Standard tax rate applicable in France 25.80% 28.40% 32.00%
Difference between the standard French tax rate and the rates applicable to the Sanofi (6.50%) (9.50%) (18.20%)
Revisions to tax exposures and settlements of tax disputes (0.80%) 1.00% 0.50%
Fair value remeasurement of contingent considerations (0.20%) 0.00% 0.00%
Other items 0.90% 0.10% (1.20%)
Effective tax rate 19.20% 20.00% 13.10%