Objective <p>Carers from culturally and linguistically diverse (CALD) backgrounds may experience challenges navigating healthcare systems that require English language proficiency. This study aimed to explore the experiences of carers supporting community-dwelling Macedonian older adults in a large regional city in Australia.</p> Design <p>An interpretative qualitative study. Semi-structured interviews were conducted with informal carers of community-dwelling Macedonian older adults between August and November 2022. Data were analysed using an inductive thematic approach.</p> Results <p>Participants ranged in age from 18 to 65 years and were predominantly adult children of the care recipient. Three overarching themes were identified: (1) persevering under the weight of ongoing interpreting responsibilities; (2) organising life around the demands of care; and (3) reconciling cultural expectations with the pressures of caregiving. Carers frequently assumed responsibility for interpreting during healthcare encounters, coordinating services, and navigating complex aged care systems. Many participants reported modifying employment and daily routines to accommodate caregiving responsibilities. Cultural expectations of family responsibility also influenced how carers understood and accepted their caregiving role.</p> Conclusions <p>Family carers play a critical role in supporting older CALD adults to access healthcare and aged care services. However, gaps remain in the provision of culturally appropriate information, care coordination and interpreter support. Strengthening culturally responsive models of care and improving access to tailored service navigation support may help reduce caregiver burden and improve access to services for CALD communities.</p>