The demographic shift towards an ageing population has already begun to impact existing models of long-term care systems in the European Union (EU), which are predominantly organized and financed by public administrations. However, the pace of change in these systems lags the rate of population ageing. This chapter explores the current situation in long-term care—be it the need of long-term care and the situation in providing it—in Europe, it provides a comparison of long term care insurance systems in countries which have introduced it. An example of an interesting legislation, which has been recently adopted in Italy, is shortly commented. In response to this very important issue, the European Commission has adopted the European Care Strategy, aimed at ensuring quality, affordability, and accessibility of care services across the EU. This strategy seeks to improve the situation for both care recipients and their caregivers, whether professional or informal. The European Care Strategy is analysed as a possible unifying element towards a common European approach. By examining these aspects, this paper aims to shed light on whether long-term care in the EU is indeed a looming nightmare or an area where strategic EU initiatives and collaborative efforts among Member States can pave the way for sustainable and effective solutions.