Often the best predictor of a new US president’s foreign policy is to look at his predecessor. Yet each president does leave his impact on American foreign policy. Donald Trump came to office with no government or foreign policy experience and his presidential campaign rhetoric suggested significant changes in a US foreign policy, which he described as “America First.” This article examines Trump’s foreign policy after nearly three years both in terms of how it is made and across three levels—interests, strategy, and tactics. The argument is that while Trump’s foreign policy shares many continuities with his predecessors, there are notable differences, especially in terms of how it is made and the conflict between his intensely personal style and the control the US foreign policy establishment has over him. Finally, any permanent changes in US foreign policy beyond Trump may have more to do with larger shifts in a world that is no longer dominated by the US.