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Introduction This paper presents the burden of mental health cases throughout UK military exercise SAIF SAREEA 3 (SS3), a low-tempo armoured brigade exercise in Oman from June to November 2018, and aims to discuss ways that mental health may be better managed on future large exercises. Methods A retrospective review of all attendances at army medical facilities and relevant computerised medical records was undertaken. Results 14 mental health cases were identified, which required 51 follow-up presentations throughout the dura