[4] He starred in a campaign video inspired by movies produced by Marvel Studios ahead of the March 2022 municipal elections, after which he stayed on as alderman with responsibility over enforcement, outdoor space, and mobility.

[4] After the PVV, VVD, NSC, and BBB formed the Schoof cabinet, Karremans was sworn in as State Secretary for Youth, Prevention and Sport on 2 July 2024.

[6] Karremans continued his predecessor's efforts to curb rising youth care costs.

He called for a greater societal role in addressing minor issues, suggesting it could ease waiting lists for children with complex needs.

[3] During Karremans's term, vaccination against respiratory syncytial virus was added to the free National Immunisation Programme [nl].