Abstract <p>This document outlines the Swedish national recommendations for MR safety, developed by the Swedish Alliance for MR Safety (SAMS). Grounded in international guidelines, Swedish legislation, and scientific evidence, these recommendations have been tailored to the Swedish healthcare context while remaining broadly applicable across European systems. The guidelines emphasize universal safety principles in MR practice, including risk prevention, equipment safety, and organizational integration. SAMS adopts a comprehensive, life-cycle approach to MR safety—from planning to decommissioning—addressing clinical, research, and veterinary use. By sharing this English translation, SAMS aims to support international collaboration and provide a foundational model for countries developing or updating their MR safety frameworks, promoting harmonization and improved safety standards across Europe.</p> Critical relevance statement <p>This article presents and critically explores key MR safety issues through Sweden’s national MR safety recommendations, illustrating how their evidence-based, life-cycle approach can guide harmonized and high-standard MR safety practices across healthcare systems in Europe.</p> Key Points <p><UnorderedList Mark="Bullet"> <ItemContent> <p>The document presents national MR safety guidelines, based on international standards, Swedish law, and scientific evidence.</p> </ItemContent> <ItemContent> <p>The guidelines cover all stages of MR use, with a focus on risk prevention, equipment safety, and organizational integration.</p> </ItemContent> <ItemContent> <p>Swedish Alliance for MR Safety (SAMS) supports international cooperation and offers a model for enhancing safety standards across Europe.</p> </ItemContent> </UnorderedList></p> Graphical Abstract <p></p>