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Abstract Live-cell imaging (LCI) provides researchers the opportunity to understand biological phenomena at a temporal resolution and is achieved using dedicated imaging systems. These studies enable insight into dynamic phenotypic changes occurring in cells, which may otherwise be missed when studying fixed samples. Access to advanced microscopy is disproportionately available to researchers in high-income countries, whereas researchers in low-to middle-income countries (LMICs) are severely underrepresented in the adoption of such technologies. A major barrier to the dissemination of advanced microscopy centres around economic inequalities, with the cost of high-end imaging systems often being prohibitively expensive. Recognition of such disparities has motivated the wider microscopy community to manufacture frugal microscopes that are accessible to researchers in resource-constrained settings. The OpenFlexure Microscope (OFM) is an open source, customisable, 3D-printed microscope suitable for medical research and field-diagnostics. We have made adaptations to the OFM to enable its use for live-cell imaging in humid tissue culture incubators. By moving major electronic components outside of the microscope, we remove the risk of corrosion of the Raspberry Pi and Sangaboard used to operate the instrument. We tested four common 3D-printing polymer materials for increased thermal robustness and found ASA is the best plastic to print the main body of the microscope, offering both durability and image stability in 24- to 48-hour time course experiments. We have also created an optional 3D-printable weighted-hammock system to reduce external vibration artefacts during image acquisition. Critically, electronic modifications included custom extension cables from the motors and camera to the Raspberry Pi and Sangaboard, and the inclusion of 22 ohm (Ω) resistors to reduce the current to the stepper motors, preventing detrimental temperature increases inside sealed incubators during prolonged powering of the instrument. To remove dependence on WiFi connections for setting up timelapse experiments, we generated a simple application with a graphical user interface (GUI) that can be installed locally on a Raspberry Pi and is specifically designed for setting up timelapse experiments without extensive computational knowledge or experience. We validated our LCI-OFM adaptations with a 48-hour treatment of MDA-MB-231 breast cancer cells with the chemotherapeutic drug docetaxel, showcasing how the modified microscope can seamlessly feed into established bioimaging pipelines and generate biologically meaningful results. For researchers in LMICs, this adapted LCI-OFM provides new opportunities to study locally-relevant health challenges with timelapse microscopy, enabling deeper insight into biological dynamics and supporting the generation of preliminary data critical for securing grant funding and access to more advanced imaging systems in purpose-built regional imaging hubs.