The report provides an overview of the status of 5G roll-out and its industrial uptake in the Nordic-Baltic region. The aim is not only to present the roll-out status across the region but also to put these insights into a broader political and technological context.The report describes some of the most relevant testbeds and policy initiatives, provides examples of successful and promising use cases, and highlights existing strengths and ongoing challenges in the Nordic-Baltic region. Juxtaposing these against established goals emphasises areas for possible future cooperation and knowledge exchange between the Nordic and Baltic actors to encourage sustainable innovation and competitiveness across the region. The report reveals notable variations in the progress of 5G coverage among the Nordic-Baltic countries. Denmark and Finland have made significant strides and surpassed the European Union average regarding 5G coverage, while other countries still face challenges in catching up. Despite the presence of numerous 5G activities, such as testbeds and innovation hubs, a considerable number of initiatives remain in the testing and prototyping stage. The report indicates that the full potential of 5G for innovation and competitiveness in the Nordic-Baltic region has yet to be fully realised. With the accelerated digitalisation brought by 5G, the importance of cyber security considerations increases. As 5G networks increase electricity demand, it is essential to consider the environmental footprint and societal effects of their rollout. While 5G has immense potential, it necessitates significant adjustments in various areas, including network infrastructure, systems, applications, data ethics, privacy, and workforce implications. Challenges related to social inclusion further underscore the importance of cooperation and synergy across the region. The report highlights the need for increased knowledge exchange, the formulation of common roadmaps, and the establishment of guidelines to promote harmonised 5G deployment. Collaborative efforts among stakeholders are crucial for maximising the benefits of 5G technology in the Nordic and Baltic countries.