This report presents the results from the seventh wave of data collection, conducted in 35 countries during the spring and autumn of 2024. It gives a comprehensive picture of the present situation among European young people as regards the use of cigarettes, alcohol, illicit drugs, inhalants, new psychoactive substances and pharmaceuticals, but also insights into gambling, social media use and gaming. The report also presents an overview of trends over the time period 1995-2019.