This new report from ASH Wales reveals how awareness and use of nicotine products have shifted over the past decade. E-cigarette use among 18–24-year-olds has risen sharply, nicotine pouches are gaining ground with one in ten young adults now using them, and heated tobacco awareness has grown even though uptake remains low. The findings highlight how quickly new nicotine products are shaping habits in Wales and why ongoing monitoring is vital for public health.