One of the primary aims of this e-book is to critically examine international developments in substance use recovery policy and practice in order to contribute to existing understandings of recovery. The Guest Editors have brought together examples of recovery-focussed initiatives and experiences from across the field of substance misuse. The outcome of this extended special issue is an array of international papers which provide insights into the structural limits imposed on recovery: the detrimental impact of unstable housing, low income and stigma on health and recovery. We are reminded of the continued need to challenge the stigma and demands faced by those in recovery, to invest in high quality treatment services and to address the concentration of substance use related harms in deprived communities.