A great deal of study and analysis goes into the effect of U.S. foreign policy on the Middle East, but the issues and conflicts in the region also have an effect within the United States, which acts as an extension of those matters. With the dramatic developments of September 11, 2001, revolutionary movements and terrorism struck America directly. This article explores recent developments in that interaction by analyzing terrorist plans or attacks originating in the Middle East but being aimed at activities on U.S. soil. What is particularly striking is that 2009 was the year with the highest number of such incidents. Thus, while “September 11” is now a historic event from almost a decade ago, the strategic themes initiated then are continuing and even arguably intensifying.