A small sample of patients with severe eating disorders are at acute risk of adverse outcomes due to critical somatic condition. An intervention of last resort for these patients is forced tube-feeding. In the Netherlands, most patients that receive this highly complex en intrusive intervention are admitted at medical psychiatric units. If forced tube-feeding is deemed necessary, staff members face an omission of clear guidelines or best practices on the utilization of this intervention.In this workshop, we discuss the absence of clinical guidelines and introduce a stepped-care approach to reduce the use of force during forced tube feeding. The workshop starts with an outline on the population, setting, necessary tools and skills for forced tube feeding, focused on clinical practice. We demonstrate our stepped-care approach (both theoretical and physical) and invite participants to elaborate on their experience and practice on de-escalation, reduction of force, attitude and safe physical interventions.