Background: As chronic diseases become more prevalent and life expectancy continues to rise, the global demand for palliative care is steadily increasing.  Since most patients in need of palliative care remain at home, there is a strong need to develop functional home-based palliative care services. Living with the suffering of a complex illness while facing one’s own mortality can deeply affect a person’s sense of dignity. Safeguarding patients’ dignity remains an essential and ongoing challenge for healthcare professionals worldwide. Aim: The aim of the study was to explore and describe nurses’ experiences of caring qualities alleviating suffering and preserving the dignity of patients in need of palliative homecare. Methods: This qualitative exploratory study used in-depth semi-structured interviews for data collection and Graneheim and Lundman’s qualitative content analysis for data analysis. The theoretical perspective was based on Eriksson’s theory of caritative caring. A total of nine nurses with extensive experience from palliative homecare participated in the study. Results: One main theme and three subthemes were found. The main theme was: Being there for the other alleviates suffering while shaping and reshaping dignity preservation in a process. The three subthemes were: (1) Being a sensitive and compassionate witness who becomes responsible, (2) Having compliance, courage, and perception in a deep presence, and (3) Being calm and patient while having time for conducting skilled practical knowledge. Conclusion: Certain caring qualities are essential in dignity-preserving care for people in need of palliative homecare, with person-centeredness playing a central role in alleviating suffering. Deep, trusting care relationships and nurses’ ability to tailor care to individual needs are key to both alleviating suffering and preserving dignity. Future research should explore this topic from the patients’ perspective. Keywords: caring, suffering, dignity, ethical sensitivity, compassion, palliative homecare