In Australasia, paramedicine education has evolved significantly over the last two decades. Anecdotal evidence suggests diversity across and within work-integrated learning (WIL) in entry-to-practice programs; however, the true extent of paramedicine WIL remains unclear. This study aimed to provide a comprehensive overview of WIL practices in Australasian tertiary paramedicine programs. A cross-sectional survey conducted in May-June 2023 involved 20 universities offering entry-to-practice paramedicine programs. The results reveal significant variability in WIL activities, including duration, settings, educational aims, and assessment practices. Student cohorts attended 16 different health-related settings, with considerable heterogeneity in duration and aims. Four key educational aims were identified across all WIL activities. Assessment and supervision requirements varied throughout programs. These findings offer novel insights into WIL practices in Australasian paramedicine, providing a baseline for future initiatives and sector-wide benchmarking.