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Tourism is one of the most important and rapidly growing sectors for economic, cultural and global development of a country. Competition between tourist destinations is increasingly intense and is played internationally in a globalized scenario, where each destination competes with new and different competing destinations. In view of this, the tourism sector has had to equip itself with appropriate decision-making tools for studying and analyzing the competitiveness of the destinations. This chapter focuses on its analysis on the countries bordering on the Mediterranean Sea, one of the areas with the greatest worldwide attractiveness to tourists, characterized by different levels and models of tourism development. There are areas traditionally dedicated to hospitality, considered world leaders (such as France, Spain and Italy) and countries that have grown rapidly in their wake (Croatia and Greece), and on the other, more recently emerged destinations (Egypt, Morocco and Tunisia) that compete very well, focussing on an ‘exotic’ seaside offer accessible to all. The aim of this chapter is to carry out a research on the tourism competitiveness of Mediterranean countries. The analysis is based on the 14 pillars described in the Travel & Tourism Competitiveness Report 2019. In order to see how the 14 pillars of the competitiveness index are grouping on the countries, we applied the principal component analysis and hierarchical cluster analysis.