The share of at-risk students has increased post pandemic requiring a response that matches the magnitude of the impact. High dosage tutoring has been one strategy to address the needs. If implemented effectively and at the proper scale, accelerated academic growth is possible. This brief reviews the collection of research on high dosage tutoring, its benefits and the factors that must be considered and included to implement high dosage tutoring effectively. Among those are frequency and scheduling, group size, qualified personnel, measurement of outcomes, curriculum, tutor-to-student relationships, and new components like removing barriers to access.