This book calls attention to the impact of stigma experienced by people who use illicit drugs. Stigma is powerful: it can do untold harm to a person and place with longstanding effects. Through an exploration of themes of inequality, power, and feeling ‘out of place’ in neoliberal times, this collection focuses on how stigma is negotiated, resisted and absorbed by people who use drugs. How does stigma get under the skin? Drawing on a range of theoretical frameworks and empirical data, this book draws attention to the damaging effects stigma can have on identity, recovery, mental health, desistance from crime, and social inclusion. By connecting drug use, stigma and identity, the authors in this collection share insights into the everyday experiences of people who use drugs and add to debate focused on an agenda for social justice in drug use policy and practice.