Most institutions have gift acceptance policies (if yours doesn't you'd be well advised to develop one). But one of the trickiest aspects of gift acceptance is the possibility of reputational risk. Gifts to non-profits from the Sackler Family have become controversial because of the family's alleged complicity in the misleading marketing of Oxycontin which led to the opioid crisis. But the situation may not be as black & white as some would believe. By analyzing the particular issues at play in the case of the Sacklers' philanthropy, we may be able to sharpen our understanding of the ethical challenges of such gifts and refine our gift acceptance policies. What are these issues? What about gifts made by branches of the Sackler family that have not been involved in the pharmaceutical business? What about gifts made before the development and marketing of Oxycontin? What about gifts that may come from Oxycontin profits but that support treatment of opioid addiction? What about gifts that may come from Oxycontin profits but do other good things for society? Can the Sackler name be stripped from buildings without returning the naming gift? Must the gifts be refunded? Discuss!