Harm reduction policing can be broadly defined as the adoption of evidence-based policies and practices which aim to reduce the adverse health, social, and economic consequences associated with drug use, drug markets, and efforts to control them through the criminal legal system. The concept of harm reduction policing is receiving increasing attention in the academic literature. To date, however, it has yet to have a significant impact on how police perceive, carry out, and evaluate their activities in policing drug markets. This paper starts by considering the origins and development of harm reduction policing. Next, to examine the current standing of harm reduction in the field of drugs policing, it draws on an empirical research project that involved document analysis and forty-four interviews with local, regional and national police officers/staff in England, as well as key partner agencies. The findings provide insight into police perspectives on the core roles of policing, drug-related harms, and successful outputs/outcomes. It is argued that police are receptive to harm reduction policing and making progress in refocusing their operations on a wider range of drug-related harms but still have numerous cultural, organisational and political barriers to overcome. The paper concludes by reflecting on whether it is an attainable (or desirable) aspiration for the police to adopt the goals and principles of harm reduction.