In this brief from the University of Minnesota Rural Health Research center, respondents from advocacy and support organizations identified challenges faced by rural victims across six themes: 1) lack of access to IPV related support services and health care, 2) knowledge and competency limitations among professionals providing services to IPV victims, 3) insufficient resources to meet basic needs, 4) harmful attitudes and norms, 5) detrimental policies and systems, and 6) intersecting risks for IPV victims who belong to marginalized or at-risk groups (e.g., those who are pregnant/postpartum, immigrants, BIPOC [Black, Indigenous, and People of Color], and/or LGBTQ+ [lesbian, gay, bisexual, transgender, queer/questioning]).