Considers deployments of the term ‘Men who have Sex with Men’ (MSM) through what the author terms a ‘Risk-Rights’ strategy in international development. Examining two Caribbean initiatives – the 2011 documentary film Living in the Shadows and the Guyanese NGO Society Against Sexual Orientation Discrimination (SASOD) – this paper documents and evaluates this strategy. Living in the Shadows demonstrates the dominant characterization of MSM as murderous, while SASOD's engagement is more consciously critical of the strategy's limits.