Distinct drinking habits are seen in the United States and Germany. Using 1995 national surveys, we examined alcohol consumption patterns, demographic correlates, and relationships between consumption and problems. Although differing in design (Germany: mail survey; United States: face-to-face interviews), both surveys shared measures that permitted comparisons. Drinking volume and pattern were assessed and the CAGE screening test for alcohol-use-related problems was used. Germany has larger prevalence of current drinking, higher levels of consumption, and more heavy drinkers. However, at matched volume levels, more Americans reported alcohol-use-related problems. Sociodemographic correlates of heavier consumption also varied between countries. Results support the role of cultural traditions in the expression and recognition of alcohol-use-related problems.