A variety of high-energy events can take place in the seconds leading up to a binary neutron star merger. Mechanisms involving tidal resonances, electrodynamic interactions, or shocks in mass-loaded wakes have been proposed as instigators of these precursors. With a view of gravitational-wave and multimessenger astrophysics, more broadly, premerger observations and theory are reviewed, emphasising how gamma-ray precursors and dynamical tides can constrain the neutron-star equation of state, thermodynamic microphysics, and evolutionary pathways. Connections to post-merger phenomena, notably gamma-ray bursts, are discussed together with how magnetic fields, spin and misalignment, crustal elasticity, and stratification gradients impact observables.