Chronic pain (CP), defined as pain persisting beyond the normal period of tissue healing, of three months or more, is increasingly recognised as a condition in it’s own right, rather than a symptom of disease. Affecting more than 3.6 million Australians, it places a substantial burden on individuals and society through disability, reduced socialisation, absenteeism, presenteeism and psychological distress (1). The economic cost of CP in Australia is projected to increase to $215.6 billion by 2050, highlighting its far-reaching effects on health, wellbeing and productivity (1). Despite the significant impact of CP, limited research has investigated the dietary intake of people living with CP. This cross-sectional study aimed to investigate the relationships between CP severity, diet quality and quality of life (QoL) in adults ≥18 years living with CP in Australia. It was hypothesised that lower adherence to the Australian Dietary Guidelines (ADGs) would be associated with greater pain severity and poorer QoL. Participants with medically diagnosed CP were recruited from the community to complete an online survey via Qualtrics. Demographic, pain severity scores, dietary and QoL outcomes were collected. Dietary intake was assessed using the Diet Quality Questionnaire (DQQ), including food and beverage consumption over the previous 24 hours. DQQ scores ranged from 0-18, with higher scores indicating greater adherence to dietary recommendations. Pain severity was assessed using numerical Likert-scale items, while QoL was measured using the validated EUROHIS-QOL 8-item index (2), with higher scores indicating better QoL. Participants were also asked if they had or would like to receive nutrition/dietetic advice as part of their treatment. Data were summarised using descriptive statistics, including mean (SD) or frequencies and proportions as relevant. Fifty adults (100% female), with a mean age of 35.5 years (SD = 14.6 years), completed the survey. Participants with endometriosis and chronic back pain (CBP) comprised the largest groups (n=21 each). Except for inflammatory bowel disease (IBD), participants generally reported more than one CP condition, and no participants with rheumatoid arthritis (RA) reported RA as their sole condition. DQQ scores ranged from 10.6 - 13.3 (mean = 11.8), with participants with CBP demonstrating the lowest diet quality scores (10.6). QoL scores ranged from 21.4 - 26.0 (mean = 23.4), with the CBP group reporting the lowest mean QoL (23.4). Notably, 56% of participants had never previously consulted a dietitian, 44% were not offered dietetic support at diagnosis, and 70% reported that they would have liked the opportunity to receive dietetic support. These findings highlight the substantial impact of CP conditions beyond pain symptoms, including implications for QoL and nutritional status. The high proportion of participants who reported a willingness to receive nutritional support highlights an opportunity for improving nutrition-related management and dietetic intervention for CP.