Indiana University-Purdue University Indianapolis (IUPUI) / Sexual encounters among gay men produce distinct meanings when methamphetamine is involved. Few studies have inquired about the meanings gay men ascribe to their meth and sex encounters. We have yet to ask, what meanings do these experiences hold and how are they constructed? Using qualitative data gathered from one-on-one semi-structured interviews with eleven men, at least 18 years of age and who report using meth during sex with another man in the past 90 days, this study explored the meanings constructed from the participants’ meth-sex experiences. The analysis revealed several important themes helping to explain why these men use meth and have sex with other men including belonging; being in, searching for and falling out of love; having sex for 12 hours; dealing with HIV; and, confronting addiction. The findings impart a meaningful role for belonging, love, sex and disease as socially constructed through the intersection of the body, mind, social interaction and the environment in which lived experiences unfold. Previous research supports several of these themes while at least one theme, i.e. love, extends our understanding of meth and sex among gay men. I assert belonging binds the themes together. The desire to belong came across more powerful and determining in its meaningfulness than the risks associated with sexual encounters where meth is present.