Pennsylvania represents one of the last large recreational adult-use cannabis markets. Already a multi-billion dollar medical market, MSOs and one particular PA-based operator have been positioning themselves for adult use. As of August 2024, with the exception of the southwest corner, Pennsylvania has been surrounded by 3 of the growth markets in adult use cannabis (New York, New Jersey and Ohio). The pressure is mounting and adult use legalization is looking more and more likely.

When Pennsylvania legalizes adult use cannabis sales, it’s important to pay attention to the details of how the market will transition from medical use to medical and adult use. Why? Because state powerhouse Organic Remedies is joined by all of the largest MSOs in accounting for nearly 85% of the units sold YTD in 2025 according to Lit Alerts estimated sales data.

While other growth markets have a select few MSOs who have carved out market positions, Pennsylvania is primed for an MSO showdown between them all.

Originally published in the Cultivated Media newsletter.