Violence in sports is a multifaceted issue that occurs at all levels of athletics, in all age groups. The onset of violence surrounding sporting events has been present throughout time, even as early as AD 59 at gladiator shows in Pompeii. These experiences can lead to lifelong comorbidities, such as depression, anxiety, post-traumatic stress disorder, eating disorders, and more. The team physician must be aware of the personal, cultural, and environmental conditions that may encourage violent conditions and compassionately treat the athletes accordingly. The team physician must be thoughtful in his or her preparation for violence at sporting events by analyzing historical outcomes and being able to help enforce evolving protective measures. This includes coordinating with security, the event coordinators, and tertiary medical centers in preparation for a dangerous scenario.