As a significant contributor to Well Integrity, the use of Premium Connections has increased in modern oilfield developments, where combined mechanical loading and a growing need for fluid tightness are becoming more common than before. This type of "specialty connectors" feature a metal-to-metal seal (MTM) which assures enhanced fluid tightness by means of distribution of contact stress generated during the make up process. In applications in which high amounts of torque or where rough field handling are the norm (e.g. Casing Drilling), the risk for damage at the MTM are big enough to put at risk the integrity of the well against leakage events. By means of understanding the mechanical and tribological aspects impacting the performance of such connectors a better understanding of their importance can be given, at the same time well defined areas of opportunity can be identified in the context of challenging drilling processes like drilling with casing.