The Dutch regional euthanasia review committee reported four individuals in the Netherlands chose euthanasia in 2023 due to unbearable suffering from long Covid. This marks the first time such cases have been officially recorded in the Netherlands, raising complex ethical considerations about the condition’s impact. The committee confirmed that all cases met legal requirements for euthanasia, including a demonstrated lack of prospects for improvement and unbearable suffering. These individuals experienced debilitating symptoms from long Covid, leading them to request assisted dying. The review committee acknowledged the growing number of patients struggling with prolonged illness post-Covid infection. The cases highlight the severe and lasting impact long Covid can have on quality of life, and the need for continued research and support for those affected within the Netherlands.