1 November is International Drug Users' Day. The National Drug Strategy Household Survey reveals that approximately 3.4 million Australians report having used illicit substances, however, drug users in our community face ongoing stigma and discrimination. This year, International Drug Users' Day draws attention to the specific challenges posed by the COVID-19 pandemic. Access to harm minimisation, prevention strategies and well-funded treatment programs are crucial in reducing overdoses and unnecessary deaths, yet access to these critical services is limited. Local organisations continue to do critical work to support and protect drug users in NSW during the pandemic and beyond, including NUAA, ACON, the Uniting Medically Supervised Injecting Centre, DanceWize, Harm Reduction Australia, Australian Drug Law Reform Foundation, Kirketon Road Centre and Ted Noffs Foundation. It is clear that we need to do much more to reduce stigma and discrimination and to ensure drug users are treated with dignity within our health system and within our community.