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This study considered self-perceived benefits and harms in addition to needs for expert guidance among MSM practicing chemsex. In 2018, 785 MSM were recruited at nine Dutch STI clinics and 511 (65%) completed the web questionnaire. Chemsex was defined as utilizing cocaine, crystal meth, fashion designer medicines, GHB/GBL, ketamine, speed and/or XTC/MDMA during sex less then 6 months. Chemsex ended up being reported by 41per cent (209/511), of who 23% (48/2