This report provides an initial overview of results from the Crystal Methamphetamine Project. The aim of this project was to examine the experiences of sexual and gender diverse men, including trans-men and non-binary people related to crystal methamphetamine and related services and supports. The report is organized into five sections addressing (1) patterns of and motives for crystal methamphetamine use, (2) gaps in services and supports, (3) healthcare and harm reduction preferences, (4) the role of trauma and stigma, and (5) recommendations for addressing crystal methamphetamine use.