On 7 May 2020, Columbia University Global Centers hosted an online international symposium on ethical dilemmas during the COVID-19 pandemic . This interdisciplinary engagement between philosophers and Covid medical professionals reports the challenges as well as the discrepancies between ethical guidelines and reality . This collection of presentations identifies four key ethical dilemmas regarding responsibility, fairness, dignity and honouring death . In looking into accountability and consistency in medical humanities, it examines whether the contextuality of coronavirus across countries and cultures affected the ethical decision-making processes . This work aims to provide a seminal resource for the development of a high-quality roadmap in medical ethics for future health crises.