In 2023, Italy saw no progress in the expected reduction of risky behaviors related to alcohol use. The number of at-risk consumers remains steady, especially among the most vulnerable groups of the population: minors, young adults, women, and the elderly. Binge drinking (drinking to get drunk), which is common across all segments of the community, spares no one, particularly the elderly, who have the greatest rates of dangerous drinkers with alcohol use disorders who are not intercepted by the National Health Service. Consumption between meals is steadily increasing, particularly among women (23.9%), with 1 million and 230 thousand consumers who drink to get drunk. The mortality rate that is entirely attributable to alcohol is increasing, despite the anticipated decrease. This trend is particularly evident in the working-age population of both sexes. In 2023, almost 8 million Italians above the age of 11 (21.2% of males and 9.2% of females) consumed enough alcohol to jeopardize their health. Four million and 130 thousand people drank to get intoxicated, and 780,000 were harmful consumers, meaning they consumed alcohol that harmed their physical or mental health. The goal of achieving the United Nations’ 2030 Sustainable Health Targets remains far off. This snapshot, as every year, comes from the National Alcohol Observatory of the Istituto Superiore di Sanità (ONA-ISS), which processed the data of the Istat Multipurpose through the Sisma monitoring system (Alcohol Monitoring System – DPCM 3/3/2017) on the occasion of Alcohol Prevention Day.