This report documents the lived-living experiences of overdose among people who use drugs in Queensland, Australia. The findings underscore an urgent need for comprehensive harm reduction strategies, including post-prison transitions, supervised drug consumption rooms, and focused Aboriginal and Torres Strait Islander initiatives. Additionally, a more nuanced approach to overdose prevention, revised opioid dependency treatment programs, and a state-wide early risk and response system were raised. By amplifying the voices of those with a lived-living experience of substance use and dismantling the structural barriers that limit their participation, we envision a layered harm reduction approach that prioritises safety, wellbeing, and informed policy change. This report resonates ongoing calls to policymakers, urging reform to tackle the diverse challenges posed by overdose events. We emphasise the need to bolster safety and support for members of our community, who have been rendered vulnerable by targeted structural and systemic violence.