Prior to the COVID-19 pandemic, European health systems faced substantial challenges, including inadequate funding for primary and social care, workforce shortages, and disparities in healthcare access. These issues were compounded by factors like aging populations and the rise in non-communicable diseases. The ongoing permacrisis, marked by the pandemic, the Ukraine conflict, cost-of-living concerns, and climate emergencies, has further strained these systems, especially the healthcare workforce. Many workers have lost their lives, and others grapple with fatigue and burnout. The hybrid EHFG 2023 event offers an opportunity to discuss strategies for navigating these shockwaves and using crises as catalysts for innovative approaches to healthcare system problems. Together, participants will collaboratively design sustainable solutions that prioritize health and well-being.