This report presents the outcomes of a cross-disciplinary Round Table hosted by the World Maritime University (WMU) from May 13-15, 2024, in Malmö, Sweden. The event brought together 51 experts from academia, industry, NGOs, and international organizations, including the IMO, to explore shipping’s role at the biodiversity-climate nexus. The Round Table had a particular focus on the impacts of shipping that are currently unregulated or under-regulated, and opportunities to address biodiversity loss and pollution as the sector decarbonizes. The report highlights the need to apply comprehensive, ecosystem-based approaches to effectively manage shipping's impacts, including cumulative impacts, on the environment, people, and ecosystem services. It calls for strategies to break down governance and management silos. It identifies important knowledge gaps to be filled across disciplines, and over 100 environmental, social and governance indicators to track progress. It presents opportunities for stakeholders to take early action to address biodiversity loss and pollution, now, as the sector decarbonizes. It emphasizes the critical role of indigenous peoples and local communities, and includes a roadmap for the sector from 2025-2040.