The 2nd European ChemSex Forum, 2018, calls for concrete actions at the local level to provide strategic resources to ChemSex responders. Working together to develop a platform to engage in international, cross-sector, multi-disciplinary dialogue around ChemSex – defined by the use of specific drugs ("Chems") in a sexual context - and facilitate coordinated responses to ChemSex issues in locales where ChemSex related harm is a problem, regardless of its size and impact.