Presented for the first time at the annual Transatlantic Business Conference: The 2023 Top 50 / Top 30 rankings of U.S. companies in Germany and survey on challenges that U.S. companies in Germany face, conducted in partnership with Patron Member Accenture. Germany must tackle investment barriers more effectively, e.g. high-cost challenges, and complicated and lengthy bureaucratic processes. AmCham Germany President Simone Menne: "Germany remains a key investment location for U.S. companies. But this trust is not guaranteed."