Disordered gambling is a behavioural addiction that causes harms to individuals, their families and wider society. Gambling harms have been recognised as a public health concern, but little attention has been given in health care to enable community nurses to identify and support patients experiencing gambling-related harms. Uptake of gambling support has been low due to the perceived stigma experienced by the person. Community nurses can use the Making Every Contact Count (MECC) approach when interacting with patients by identifying the signs of harmful gambling, discussing this with their patients, and signposting them to appropriate support. This article explores how community nurses can do this.