Intracerebral hemorrhage (ICH) survivors are at high risk for recurrent stroke and cardiovascular events. Blood pressure (BP) control represents the most potent intervention to lower these risks, but optimal treatment targets in this patient population remain unknown. In this manuscript by CGM Investigators Jonathan Rosand, Christopher Anderson, Alessandro Biffi and colleagues, more intensive BP control than current guideline recommendations had a significantly greater effect on reducing the risk of major adverse cardiovascular and cerebrovascular events and mortality in the months to years following the initial stroke. This work has important implications for the way blood pressure is managed following this devastating form of stroke, and warrants study in a dedicated, randomized controlled trial.