The United States has been a steadfast supporter of North Macedonia since its independence from Yugoslavia in 1991 and strongly backs its European Union (EU) and NATO membership ambitions. (North Macedonia’s constitutional name was “Republic of Macedonia” until February 2019.) Many Members of Congress have supported North Macedonia’s aspirations for integration into Euro-Atlantic institutions. On multiple occasions, U.S. leadership was critical to defusing political crises and interethnic tensions in the country As North Macedonia moves closer to NATO membership, and potentially EU membership, the country shows signs of renewed stability following a political crisis from 2015 to 2017. The years 2019-2020, in which North Macedonia is expected to become NATO’s 30th member and the EU will likely determine whether to launch accession negotiations, are considered key to consolidating the country’s recent breakthrough in its relations with Greece and sustaining its reform momentum.