Meningiomas, common brain tumors, often effectively treated but 20% behave aggressively and recur. Multiply recurrent meningiomas (MRM) resist treatment and recur multiple times. Researchers studied 1,186 patients, finding MRMs more numerous, larger, and common in men. MRMs exhibit greater chromosomal instability and DNA methylation, with reduced gene expression of EDNRB, associated with increased cell proliferation. This study provides insights into MRMs, potentially guiding precision medicine and predicting recurrence.