The paper discusses a foresight tabletop exercise that explored how rising temperatures, sea-level rise, and climate variability could impact BOSS islands such as the Maldives, Mauritius, and Seychelles. Through the analysis of three future climate scenarios, the exercise produced 34 policy recommendations aimed at enhancing adaptive capacity in areas such as governance, infrastructure, and international cooperation. The recommendations also highlight the need for resilient infrastructure, financial mechanisms, and ecosystem-based management.