Hegemonic masculinity is a theoretical construct within sociology and represents socially constructed conceptions of dominant masculinity. Much of the sociological literature links aspects of this form of masculinity to men’s poor health status, including a range of societal ills such as substance abuse. 12-step recovery is a widely endorsed model of addiction recovery which is based on spiritual principles.The features of hegemonic masculinity and 12-step recovery appear to be at odds with each other. This paper is based on the findings of a small qualitative study exploring the lived experiences of six men in 12-step recovery against a backdrop of hegemonic masculinity. The findings show how the active construction of hegemonic masculinity evolved throughout the life course of the men. A central theme to emerge is one of old and new formations of identity. Additionally, hegemonic masculinity interacts in a number of ways with the men’s recovery.