As millions of people around the world face a new reality, for some people, their previous reality was already a high-risk one – and COVID-19 just raised the stakes. Eurasia is the backdrop to several long-term conflicts. Across the region, there are pockets of extreme vulnerability and grinding poverty. Humanitarian organizations are thin on the ground in conflict zones and aid and information are scarce, but the people who live there need help. We have been helping people affected by conflict in Eurasia is for years, but we have had to rethink almost everything we do because of the pandemic. It has turned people’s lives upside down and it has presented us with new challenges. We are now helping people within the confines of the COVID-19 pandemic, and these are their stories, as well as those of the helpers.