This 2021 Complex Trauma Spotlight Report was commissioned by the National Mental Health Commission. It is the product of a collaboration between Blue Knot Foundation and BEING – NSW Consumers Inc. . It recognises the significant need of greater awareness and understanding of the often chronic and largely unmet needs of people living with the long-term impacts of complex trauma. This report reviews current research and practice into complex trauma and lived experiences of people with complex trauma – how they have engaged with a range of systems of care and support and how the systems have responded to their needs. It highlights the chasm between the needs of people with lived experience and systems’ and service capacity to meet them, to support healing and recovery, minimise experiences of re-traumatisation and to be heard, respected and supported to live meaningful participating connected lives.