Energy poverty (EP) is the product of three main factors ¶ the cost of energy, household income and the energy efficiency of the dwelling. Climate change and rising energy costs are likely to accentuate EP. This study extends our knowledge about EP in Australia and examines its relationship to housing and health. Drawing on 23 semi-structured interviews, we map the impacts of EP on older low-income people residing in Sydney and Melbourne. These impacts include food insecurity, an incapacity to purchase essential consumer items, an inability to afford required medical procedures, thermal discomfort and social exclusion. We found that many interviewees do not recogni ¶ ze their own EP situation or are too ashamed to ask for help. Thus, the overall cost of EP to individuals and the broader society can be far higher than what statistics indicate. The article proposes a conceptuali ¶ zation of the relationship between housing, health and EP drawing on a figure we have created. The severe impacts of EP suggest that measures to lessen it among older vulnerable households are urgently required.