The author interrogates two propositions: one, in developing a conceptual framework for the relationship between psychosis and trauma, is there something importantly distinct about “combat trauma” or “combat psychosis” that differentiates it from other similarly presenting psychopathology? The other, is there a treatment paradigm by which we can structure combat psychosis within psychoanalytic and psychodynamic discourse and theory? This is brought into conversation with experiences of acute psychosis, trauma, and suicidality in post-9/11 US combat soldiers living in a psychiatric residence for veterans in New York City, from February 2019 to March 2020. Clinical observations are then related to ontology utilizing Camus's “absurd/l'absurde.”