Survivors said even though three years have passed, the pain from that tragic night is still very present.
"Many of the friends and family are here reporting to the loved ones we've lost and for the survivors too, many of them are still going through surgery, unfortunately," Pulse survivor Orlando Torres said.
Events were planned all day remembering the victims and survivors of the attack, from blood drives to bell tolls for each victim.
Well before the sun rose Wednesday morning, a steady stream of people made their way to the Pulse memorial sharing a moment of silence together just after 2 a.m.
"We are always going to be supporting our survivors," said Jim McDermott, who lost a friend in the shooting. "That's what we are here to do. We are here to make sure that it’s not just about a memorial. The true legacy of Pulse are the people that have come together to unite together and to protect Orlando."
Some survivors said they are still working on their recovery whether it be mental wounds or physical.
>> On WFTV.com: Orlando community gathers 3 years after Pulse nightclub massacre
"There's one friend I know who still has a bullet near his spine, waiting for it to shift so, it's an ongoing thing," Torres said.
Torres said coming together to remember is important.
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"We have love and I’m sure if the whole world was close by they'd be here, too," he said.
Before he spoke at the evening ceremony, Orlando Mayor Buddy Dyer reached up and pointed to the sky where a rainbow arched overhead.
"It would not be a Pulse remembrance ceremony if we didn't have a rainbow," he said.
>> Watch the full ceremony here