This document summarizes the results of a review of higher education institutions in Bulgaria conducted by HEInnovate. The review included surveys of leaders at selected universities and their students. It identified several barriers to entrepreneurship and innovation at universities, including a lack of strategic focus on local development, limited industry partnerships, and underdeveloped entrepreneurship support systems. Opportunities for universities include strengthening knowledge exchange activities, internships, and links to entrepreneurship ecosystems. The surveys found a mismatch between the entrepreneurship support offered by universities and student demand.