Since being endorsed in the 2016 World Health Organization guidelines, differentiated service delivery (DSD) has become a core component of HIV treatment programmes in sub-Saharan Africa. In 2020, the advent of COVID-19 has highlighted the critical importance on ensuring HIV services are adaptable and client-centered. Six-month antiretroviral therapy refills, commonly referred to as 6MMD, has emerged as a silver bullet to supporting people living with HIV during COVID-19. But DSD has more to offer than just longer ART refills, it would be both a missed opportunity and self-limiting to focus solely on MMD. We purposefully moved away and should not return to a new “one-size-fits-all” approach to HIV service delivery, but rather a client-centered and community-led system. Featuring programmes in Kenya, Sierra Leone and South Africa, the audience will hear from people living with HIV, implementers, and government how DSD is adapting and evolving in 2020.