Expanding Epidemic of Recently Acquired HCV in HIV-coinfected Patients over a Period of 10 Years

•Recently acquired HCV infections primarily occur in HIV-coinfected MSM and PWID.•Over 10 years, an overall decline of recently acquired HCV infections and a certain HCV genotype pattern were observed.•Country-mixing MSM-specific clustering with a shift towards HCV GT4d infections in recent years could be identified.•Ongoing risk of repeated HCV transmission in MSM is caused by increase of reinfection incidence and low spontaneous clearance rates.•Our findings underscore the importance of constructive preventive strategies and early treatment initiation in MSM to achieve HCV elimination.