In this Chapter the author describes the circumstances and impact of the Omagh bombing which occurred in Northern Ireland in August 1998, just as the peace process was beginning to see political progress and violence had significantly reduced. The impact on casualties and their families in Omagh, Buncrana in the Irish Republic, and in Madrid, Spain, is described, as are the distress and traumatic consequences for the wider community. The responses of neighbours and friends, the wider Omagh community, its medical, education, not-for-profit and civic services, are described. The contribution of commemorative and arts based events is demonstrated. The risk to the developing peace process and the Belfast Agreement is outlined and how this impacted upon the development of therapeutic services for the local community. The role of politics and politicians in ensuring services were developed, is described.