Despite technological advances, hand-to-hand combat remains a persistent aspect of the contemporary operating environment (Wojadkowski, 2007). To develop a more detailed understanding on the use of hand-to-hand combat, the researcher analyzed 30 Post-Combat Surveys administered to US Army Soldiers from 2004 to 2008 after their return from deployments to Iraq and Afghanistan. 216 out of 1,226 Soldiers (19.0%) reported using hand-to-hand combat skills in at least one encounter. The Soldiers descriptions indicated that hand-to-hand combat occurred in a variety of tactical situations and that the most common skills employed were grappling techniques (72.6%), followed by the use of weapons (e.g., rifle butt strikes; 21.9%); with striking as the least reported skill (i.e., punching and kicking; 5.5%). These results further reinforce that hand-to-hand combat remains a relevant demand and the US Army should continue such training with an emphasis on grappling skills practiced across a variety of performance settings.