The COVID-19 pandemic required prompt action from governments all over the world. In federal systems, it can be important or beneficial to coordinate crisis management between the various governments. The extent to which intergovernmental coordination occurred and the form it took (vertical or horizontal) varied across countries and regarding the measures taken. By examining the introduction and the subsequent easing of containment measures and the procurement of medical supplies in Australia, Canada, Germany, and Switzerland, this article identifies the circumstances under which intergovernmental coordination occurs. Surprisingly, the existence of strong intergovernmental councils did not lead to closer intergovernmental coordination. Governments coordinated more intensively when jurisdiction was shared, problem pressure was high, and measures were(re-)distributive in nature. Vertical coordination was more likely when vertical intergovernmental councils existed and powers were shared.