Two European studies highlight the need for better diagnosis and treatment of pulmonary hypertension associated with interstitial lung disease (ILD). The first study, published in *Pulmonary Circulation*, found that early recognition of symptoms could be life-changing, with shortness of breath being the most distressing symptom. The second study, published in *ERJ Open Research*, revealed significant unmet needs in managing this rare disease, emphasizing the need for comprehensive screening, diagnostic protocols, and effective treatments.