The December 2023 Pediatric Critical Care Medicine issue is a robust one with audio summaries encompassing a wide variety of articles from many different disciplines. Feature articles examine neonates with congenital diaphragmatic hernia on extracorporeal membrane oxygenation (ECMO), viral respiratory illness severity and management in the PICU, nutrition support for critically ill patients, and patient and family stressors and experiences in the PICU. There are neurocritical care and cardiac intensive care articles, as well as many articles highlighting clinical investigations. This month's review article highlights vascular reconstruction after ECMO, and the brief report examines parental perceptions and functional status in PICU survivors, both of which are engaging reads.