Unprecedented and unpredictable: this is how US President Donald Trump's administration has repeatedly been labelled during its first term. Beyond the frequent tweets and bombastic rhetoric, however, lie a more conventional four years, as the United States navigated an ever-evolving international reality, compounded by a global pandemic and one of the deepest economic recessions in over a century. This Report analyses the continuity and changes that occurred during Trump's first term. Domestically, it investigates the growing political polarization, the country's pre-pandemic economic performance, Trump's approach towards regular and irregular migration, and the US' response to a healthcare emergency. At the international level, this volume looks at how the US stance has changed vis-à-vis China, the Middle East, and Europe. Which long-term trends has President Trump had to ride through? What was his trademark, and what might be his lasting legacy? ISPI. The Italian Institute for International Political Studies (ISPI) is an independent think tank dedicated to being a resource for government officials, business executives, journalists, civil servants students and the public at large wishing to better understand international issues. It monitors geopolitical areas as well as major trends in international affairs. Founded in Milan in 1934, ISPI is the only Italian Institute - and one of the few in Europe - to place research activities side by side to training, organization of international conferences, and the analysis of the international environment for businesses. Comprehensive interdisciplinary analysis is achieved through close collaboration with experts (academics and non-academics alike) in political, economic, legal, historical and strategic studies and through an evergrowing network of think tanks, research centers, and Universities in Europe and beyond.