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Educational institutions have raised paramount concerns over assessment integrity and security in the evolving landscape of the digital era and the transition to online and hybrid learning environments. This chapter starts by exploring the significance of assessment integrity and security and emphasizing their imperative role in preserving the value of academic qualification and genuine knowledge acquisition. It unfolds by presenting a detailed exploration of the multifaceted challenges in online exam settings ranging from cheating to unauthorized access to information. It then sheds light on the strategies and digital tools for addressing the challenges, and concerns and issues associated with the digital tools are also discussed.