The rise of states interesting in altering international order, or with little interest in promoting domestic liberal institutions, broke the post–Cold War “patronage monopoly” enjoyed by the United States and its democratic allies. The emergence of new patrons—including not just Russia and China but also regional powers—allows recipients of international aid to push back against, and attempt to loosen, many of the kinds of conditions and principles demanded by democratic donors. In turn, the possibility of alternative patrons has assisted the rise of illiberal, populist leaders, including within the “core” of the American system. This chapter examines these dynamics regionally, including in Africa and Central America, and in specific countries such as Hungary, the Philippines, Venezuela, and Turkey.