The document analyzes the manufacturing innovation ecosystem in Massachusetts and provides recommendations to strengthen it. Key findings include: 1) The ecosystem has many assets but connections between actors are weak, 2) OEMs are central but SMEs have limited links, and 3) Startups could better connect to OEMs and SMEs. Recommendations are to: develop a state advanced manufacturing strategy, increase OEM-SME collaboration, provide more technological support to SMEs, and improve startup-industry connections.