This report provides qualitative insights into drug use trends across 20 European cities between July 2024 and July 2025. Based on focus group discussions with key informants, it explores emerging patterns not yet captured in quantitative data, including shifts in substance use, polysubstance consumption, and routes of administration.It highlights local market dynamics and user practices, offering city-level perspectives to inform timely, evidence-based responses, harm reduction strategies, and targeted service planning.

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