Societal Impact StatementCultural use berries are prized foods and medicines across the United States and Canada, with almost 200 different species used by Indigenous Peoples. Berries are increasingly being impacted by environmental and land‐use change. Berry habitats, how and when berry plants reproduce, and the volume of berries available for harvest each year are shifting widely. These changes are impacting access to, availability of, and consumption of berries. Biocultural stewardship practices, like low‐intensity fire, transplanting, and thinning, can be used in response to these stressors to support berry plant health and productivity as well as a sustained relationship with this important food.SummaryAlmost 200 different species of berries are used for food and medicine by Indigenous Peoples, with unparalleled nutritional and cultural significance among plant foods. Environmental and land‐use change is increasingly compromising access to, availability of, and consumption of berries. In this review, I consider (a) how climate and land‐use change are impacting cultural use berries across species and places, as documented by Indigenous Peoples and in the scientific literature, and (b) how stewardship practices are being applied to promote resilience and sustainability in berrying landscapes experiencing stress. Climate impacts on Arctic and subarctic berry species include earlier ripening, changes in taste, or increased variability in abundance. These same regions are experiencing a proliferation of shrubs, while forests throughout the lower 48 and Canada are suffering from suffocating fuel loads and stand densities that are not conducive to berry habitat for many species. In the Pacific West, berries are influenced by prolonged droughts and increasing spring and summer temperatures. Climate change impacts are amplified by shifts in land use for forestry and agriculture. Biocultural stewardship practices, like low‐intensity fire, thinning, transplanting, and cultural care, can be used to mitigate these impacts and promote berry microclimate habitats. There is opportunity for intertribal networking and knowledge sharing around berry stewardship practices that will support local and regional climate change responses.