The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease (3rd edition) was developed and endorsed by expert stakeholders and an Aboriginal and Torres Strait Islander advisory group. It provides standards, recommendations and guidance for clinically sound and culturally safe care for people living with acute rheumatic fever and rheumatic heart disease. (The 2020 guideline replaces the 2nd edition which was published by RHDAustralia in 2012.)