The longstanding US-Pakistan relationship is not an easy one. Despite the billions of dollars the US doles out to Islamabad in economic and military assistance, Pakistanis hold extremely unfavorable views of America and its leadership. After 9/11, Pakistanis held more positive views of the US, but that changed in the 2010s, when the killing of bin Laden inside Pakistan's territory and deadly US drone strikes that killed Pakistani civilians sparked deep animosity against Washington. President Trump then made things worse by playing favorites with India, Pakistan's nemesis. We compare US aid flows to Pakistan with Pakistani views on American leadership over the past two decades.