This study examines international tourists' multicity trip patterns within the United States. Actual and perceived distance from the country of origin to the destination is assumed to affect the likelihood of multicity tourism behavior. In addition, higher opportunity costs for first-time tourists are expected to lead to increased multicity patterns. An analysis of the trips of international tourists to US metropolitan areas confirmed that multicity patterns differ for groups of tourists with different origins and varying levels of familiarity with the destination. Differences lie in the directionality of flows as well as the extent and nature of multicity tourism behavior.