On 10 November 1944, Akishimo was escorting troop convoy TA No. 4 from Manila to Ormoc, Philippines. She suffered heavy damage in an air attack by U.S. Army B-25 Mitchells during the withdrawal; the ship took a direct bomb hit and lost her bow with 20 killed and 35 injured. The destroyer returned to Manila at 16 kn (30 km/h; 18 mph), then to Cavite Navy Yard on 11 November for repairs.