This is the sixth in our COVID Corner series. And, as we approach the first anniversary of WHO officially declaring it a pandemic (March 11, 2020), the media, academics, consultants, and politicians are increasingly using the metaphor a marathon to describe coping COVID.12 In this installment, we look at some of the parallels and how the metaphor might help us better understand the challenges facing healthcare leaders. We also discuss how the marathon metaphor, like all others, tends to break down on closer examination or over extension.