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This chapter deals with the specific forms of Sicily's interaction with Aegean and eastern Mediterranean groups who were consistently present and active in the central Mediterranean throughout the second millennium BC. The focus is on Sicily and the Aeolian islands. The chapter discusses the cultural differences between the main island of Sicily and the minor islands of the Aeolian group and Ustica throughout the Early Bronze Age. The Sicilian Middle Bronze Age is characterized by a formally homogeneous archaeological culture, the so-called Thapsos-Milazzese facies that was shared by Sicily and the Aeolian islands and that is also documented at Ustica, Pantelleria and on the Poro promontory of the Calabria coast. The label 'Ausonian I' was first used by Bernabo Brea to refer to the Late Bronze Age facies at Lipari. Throughout the Late Bronze Age, the Pantalica culture continued the local, long-established tradition of integration with Aegean groups who were still present and active in Sicily.