Hoarding presents unique challenges for first responders, offering a complex view into the lives of affected individuals. From emergency medical technicians to firefighters, these frontline workers encounter hoarding situations that require delicate handling and strategic intervention. Hoarding, characterized by the excessive accumulation of possessions and difficulty discarding them, poses significant safety risks for both residents and responders alike. First responders must navigate cluttered and hazardous environments, often impeding their ability to provide timely assistance during emergencies. Moreover, hoarding can exacerbate fire hazards, obstructing escape routes and complicating rescue efforts. Beyond the immediate physical dangers, hoarding cases also shed light on underlying mental health issues and social isolation experienced by those affected. As such, first responders play a crucial role not only in addressing the immediate concerns of hoarding incidents but also in connecting individuals with the necessary support services for long-term solutions and recovery.