Add elderberries, water, and all spices into a large pot.
Set to medium heat and allow for it to boil.
Once boiling, reduce heat to medium-low and simmer for approx. 45 mins or until the mixture has reduced to half.
Remove from heat and allow to cool.
Once cooled to room temperature, use a mesh strainer or a cheesecloth to strain liquid from berries. Discard remaining pulp.
Add honey to liquid and stir to combine (I usually use about ½ cup but you can use up to 1 cup if you prefer it sweeter).
Pour into a storage jar, seal tightly, and refrigerate for up to 3 months.