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Contrasting widespread speculation in the media and public debate about spiking (administration of a substance to a person without their knowledge/consent), empirical evidence on the subject is lacking. This study aimed to investigate the assumed prevalence, perceived likelihood, and fear of drink-versus needle-spiking, and associated mental strain. Data from a cross-sectional online-survey (November 2022 – January 2023) of 1916 adults connected to Berlin’s nightlife-scene were analyzed. Almost a quarter reported having experienced drink-spiking, but only a small fraction sought medical or police attention; about 1% suspected needle-spiking. Presumptive victims of drink-spiking rated the likelihood and fear of spiking significantly higher and exhibited more symptoms of depression and anxiety. Considering toxicological and police findings, the reported prevalence and perceived likelihood of spiking seem to be highly overestimated. This, in conjunction with associated mental strain, highlights the importance of adequately addressing the issue of spiking through psychoeducation, prevention, and interprofessional investigation.