Berntsen and Rubin’s Centrality of Event Scale (CES) has been used in many different studies. This interdisciplinary and exploratory article is the first to apply the scale and to analyse event centrality in the context of conflict-related sexual violence (CRSV). It draws on a research sample of 449 victims-/survivors of CRSV in Bosnia and Herzegovina (BiH), Colombia and Uganda. Existing research on event centrality has mainly focused on the concept’s relationship with post-traumatic stress disorder and/or post-traumatic growth. This article, in contrast, does something new, by examining associations between high event centrality, resilience, well-being and experienced consequences of CRSV, as well as ethnicity and leadership. Its analyses strongly accentuate crucial contextual dimensions of event centrality, in turn highlighting that the concept has wider implications for policy and interventions aimed at supporting those who have suffered CRSV. Ultimately, the article juxtaposes event centrality with a ‘survivor-centred approach’ to CRSV, using the former to argue for a reframing of the latter. This reframing means giving greater attention to the social ecologies (environments) that shape legacies of sexual violence in conflict.