The insular cortex (insula or 'the island of Reil') is a complex brain structure that forms part of the cerebral cortex (Reil, 1809). It has distinct anterior-posterior and dorsal-ventral divisions and is known as a cortical integration hub, with connectivity to extensive cortical and subcortical brain regions (reviewed in (Gogolla, 2017)). Of note, the insular cortex has numerous connections with the amygdaloid complex and the thalamus (Reep et al., 1996). Strong intra-insular networks also exist (Reep et al., 1996). The widespread connectivity and spatial organization of the insular cortex contribute to the relative lack of understanding of this brain structure. Traditionally, the insular had a known role as a visceral-somatic structure, responsible for various sensory and motor responses (Penfield & Boldrey, 1937;Rasmussen & Penfield, 1947). However, the known functions of the insular cortex have expanded in recent years. The insular is activated by olfactory stimuli, cognitive tasks, perceptions and emotions (Kurth et al., 2010). One well-known function of the insular cortex is in interoception, activated by cues and internal drives to modulate motivated behaviour (Craig, 2009). The involvement of the insular cortex in motivated behaviour suggests that it integrates with key reward circuitry. Indeed, the insular has connections with the ventral striatum, particularly the nucleus accumbens core, and the ventral tegmental area/ substantia nigra (Allen et al., 1991;Ohara et al., 2003;Wright & Groenewegen, 1996). Importantly, dopamine, gamma-aminobutyric acid (GABA) and glutamate appear to be key neurotransmitters involved in the function of the insular cortex (Betka et al., 2019;Ohara et al., 2003). One class of disorders where motivated behaviours are augmented include substance use disorders. Corticostriatal circuits have long been associated with substance use disorders, however, these studies have traditionally focussed on prefrontal