More than 100 senior counterterrorism professionals from government, military, law enforcement, intelligence, international organizations, civil society, academia, and the private sector met to address Foreign Terrorist Fighter (FTF) phenomena in the Western Balkans. The Republic of Macedonia in cooperation with the Organization for Security and Cooperation in Europe (OSCE) and the United States Embassy in Macedonia hosted the Partnership for Peace Consortium (PfPC) Combating Terrorism Working Group (CTWG) event. Conference participants included Macedonia’s new National CT/CVE Committee including the national CT/CVE coordinator, as well as the CVE national coordinators from Albania and Kosovo, providing the foundation for increased regional collaboration on difficult challenges, including FTF and prisoner rehabilitation and reintegration issues. Keynote speeches were delivered by senior Macedonia government officials, as well as from senior members of diplomatic and counterterrorism (CT), including countering violent extremism (CVE), bodies. The keynote speakers H.E. Zoran Zaev, Prime Minister of the Republic of Macedonia, H.E. Jess Baily, U.S. Ambassador to Macedonia, H.E. Nina Suomalainen, Head of the OSCE Mission to Skopje, Mr. Borche Petrevski, National CT/CVE Coordinator, Republic of Macedonia, and Mr. Richard Prosen, U.S. Department of State and CTWG Co-Chair addressed relevant CT/CVE issues within the context of evolving FTF threats and challenges. The conference showcased a multi-stakeholder tabletop exercise (TTX). The TTX engaged participants in an interactive scenario on emerging security challenges to a fictitious country, which facilitated discussions to cultivate Macedonian and regional policy and programmatic recommendations related to FTF travel, relocation, and return.