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For more than 100 years, various forms of national Telemedical Maritime Assistance Services (TMAS) to seafarers have been in operation across the world. These services developed to supply their own nation’s needs, leading to significant differences between their scope and structure. The individual nations’ TMAS workload presented here ranges from over 6,000 cases/year to approximately 200 cases/year. Given the differences between the services, this paper presents the total 2023 activity of the combined contributing services, followed by an accompanying breakdown of the data by each individual TMAS.