Research into the mental health of female sport match officials is scarce, despite verbal and physical abuse being commonplace. Twelve female match officials officiating male and female matches took part in semistructured interviews, investigating their experiences and understanding of their mental health. Deductive thematic analysis identified four overarching themes: male and female football environments; abuse, sexism, and homophobia in football; formal and informal support networks; and mental health knowledge and experience—accessing services. The results revealed toxic, abusive, male-dominated environments that included sexist and derogatory language, negatively affecting their mental health. The female match officials struggled to ascertain mechanisms for support and identified that the educational courses and local organizations did not provide mental health information or training, and match officials often experienced poor mental health during and after matches. Increased engagement with mental health literacy and policy change from governing bodies is required, given the unique challenges female match officials face.