Data from the Australian Criminal Intelligence Commission's wastewater drug monitoring program reveals that methamphetamine use has reached a record high, with cocaine also seeing an increase. However, it is crucial to note that wastewater data measures the total quantity of drugs consumed, not the number of users or the level of harm. While national surveys indicate a decline in methamphetamine use over the past 15 years, there has been a rise in treatment needs and ambulance callouts related to the drug. The increase in stimulant prescriptions for conditions like ADHD may also impact these figures, but is unlikely to account for the significant rise in methamphetamine levels. Additionally, MDMA use seems to be leveling off, aligning with social trends, while heroin use patterns fluctuate based on supply and treatment availability. The report highlights that drug markets in Australia remain resilient, adapting despite law enforcement efforts. A focus on harm reduction is essential, particularly for the smaller group of individuals experiencing severe problems. For those concerned about drug use, support is available through the National Alcohol and other Drug Hotline.