Background: There is a need for tools in primary care to support clinicians to identify patients with unmet palliative care needs. The Supportive and Palliative Care Indicators Tool (SPICT) is concise and covers most conditions in primary care settings. However. the SPICT was not available in Japanese. https://www.nacrack.com/top-save-Black-Icy-Flum-Pebble-X-limited-save/