The international report analyzes challenges faced by mid-level managers in small, medium, and large companies in four European countries. It is based on 20 case studies of diverse companies. The case studies revealed challenges common across companies as well as company-specific challenges. Main challenges included the need for innovation, digitization, performance measurement, growth control, cultural differences, soft skills, autonomy, workload, and employee motivation, engagement, and retention. Best practices identified to address these included implementing performance systems, job redesign, effective communication, training programs, and cultural sensitivity training.