This study investigated the high risk drinking practices of unaffiliated college students who are not involved in formal athletics, fraternities, or sororities. Using a qualitative research design, the investigators interviewed students at a northeast public college in fall 2010 to learn about unaffiliated students' drinking experiences and their related consequences. Five major themes emerged from the interviews: Unaffiliated students engage in high risk drinking practices consuming a range of 5 to 18 drinks per episode; they participate in "pre-gaming" or drinking before going out to party; they participate in drinking games over the course of a drinking episode; they experience negative health and social consequences including: vomiting, hangovers, confusion, memory loss, medical and law enforcement involvement, and strained interpersonal relationships; and some use psychoactive substances while drinking. The major finding is that unaffiliated college students engage in high risk drinking and experience a variety of negative consequences.