Although it typically makes up only 1% (or less) of the mass of the interstellar medium (ISM) in a galaxy, interstellar dust is absolutely critical to ISM physics. Dust is also the repository of a large fraction of the heavy elements, and thus is central to understanding the cosmic history of elemental enrichment in the universe. With knowledge of the dust-gas relationship, dust can also be tracer of gas, spanning the atomic and molecular phases of the ISM. I will review recent efforts to understand the relationship between dust and gas in nearby galaxies, particularly as a function of ISM phase and metallicity. I will also describe exciting new work using JWST observations of the mid-infrared emission from small carbonaceous dust grains (polycyclic aromatic hydrocarbons) as a tracer of gas column in nearby galaxies.