This report looks at how debt and climate change are threatening the future of Small Island Developing States (SIDS), and suggests calls to action to help tackle these challenges. The oceans are scattered with small islands, dots on the world map that have too often been ignored. Yet they are home to sixty-five million people. Small Island Developing States (SIDS) are among the countries that are under the greatest threat from the multiple crises that the world is facing today, particularly the climate emergency and the wave of debt in which many countries in the Global South are drowning. The sustainable development of SIDS is constantly jeopardised by their structural weaknesses, including their small size, remoteness, reduced resource base, exposure to adverse climate events and limited diversification of the economy.