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Medical students face specific challenges during their studies. This investigation was based on the analysis of more than 600 dreams of medical students by means of the Hall and van de Castle coding system, complemented by data-driven explorative and thematic analyses. The results revealed (a) the influence of the medical students’ context (curriculum and hidden curriculum) on dream contents and (b) the importance of performance and evaluation in medical students’ dreams. Medical students’ dreams seem to be an interesting way to better understand their lived experiences and preoccupations.