Background: The rare ability to manage simultaneous high growth and entrepreneurship is pivotal for a thriving business. Be leveraging intention, ability and opportunity the post growth actions of Swedish high growth SMEs facilitate effective and profitable operations. Sweden, the country with the largest share of high growth SMEs in EU, offers an ideal setting for gaining a comprehensive understanding of these operations. Purpose: The study aims to examine the impact of the pre-growth factors: intention, ability and opportunity on post high growth actions taken by Swedish high growth SMEs and identify differences and similarities regarding the use of these strategies between the firms in the sample. Method: The study is a multiple case study using semi structured interviews with six Swedish high growth SMEs. The study uses an interpretivism perspective with an abductive research approach and empirical data is analyzed through a mechanisms data analysis. Conclusion: The study concludes that firms pre-growth factors significantly impact their post high growth actions. Risk-prone firms with strong growth intentions view high growth as essential for organizational improvements, while more risk-averse firms view organizational improvements as a prerequisite for high growth. Firms with strong growth intentions employ strategic exit to align their pre-growth factors, especially when lacking investment. Firms with more passive growth intentions consider strategic exit as a last resort. Developing support functions is closely tied to firm size and ability while investments into internal competency is crucial for firms in fast-changing markets where opportunity is vital. Keywords: High growth SMEs, Pre-growth factors, Entrepreneurship, Innovation, Strategic exit, Human resource management