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UNSTRUCTURED With an increasing number of cases and global spread, coronavirus disease 2019 (COVID-19) was declared a pandemic on the 11th March by the World Health Organisation (WHO). Mass gatherings (MGs) are particularly concerning as they’ve the potential to spread the disease both within and between countries, with transmission occurring; (i) during the event, (ii) whilst travelling to and from it and (iii) when attendees return to their home communities. In Malaysia, a ‘Tabligh’ religious gathering was held in late February. Approximately 16,000 people attended, including 1,500 foreigners from over 20 countries, at Seri Petaling Mosque near to Kuala Lumpur. This gathering was linked to a surge in cases in Malaysia and across Singapore, Indonesia, India, Brunei, Cambodia, and Thailand. It remains Malaysia’s largest COVID-19 cluster and as of 13th April was responsible for 38% of cases and 18 deaths in the country. It is important to risk assess MGs consistently with the COVID-19 risk assessment tool. To ensure the acceptability and success of MG cancellation decisions they should be: (1) Implemented early to reduce event travel; (2) Clearly communicated so that attendees understand why such decisions were taken including reinforcing good hygiene practices & (3) Make use of alternative arrangements such as postponement or technologies to hold the event remotely if safe to do so.