The aim of the study is to describe the experiences that staff working in low threshold residential accommodation have with residents who have experienced an overdose. The data was collected using focus group interviews with staff members. The analysis pointed out four key pressure points: failure in life, access to drugs, suppression of feelings, and relationships with children. These points were then constructed into “the internal reality” and “the drug-free reality”, summed up as: “When you have to face up to reality.” The main findings of the study are that staff experience that when the conflicts between these realities no longer can be kept at a distance, then there is a risk of an overdose. This highlights the importance of good dialogues and relationships with the health care services and the significance of staff knowing what is going on in the life of each resident.