Alcohol Consumption by Country: Which Nations Drink the Most?

“It’s 5 o’clock somewhere…!” We’ve probably all heard this phrase before. It’s used to justify drinking at any time of day, given that somewhere in the world, it’s 5:00 pm — the end of the work day for a traditional “nine-to-five” worker.

But do other countries have this same ritual — unwinding with a glass of wine, cold beer, or cocktail at the end of a long day? Just how embedded is alcohol in different cultures worldwide?

In this blog post, we’ll explore the countries that consume the most alcohol, gaining insight into their drinking trends and behaviors. You might be surprised at which countries make the top of the list. Let’s dive in!

Which Country Drinks the Most Alcohol?

Various factors influence which countries drink more, ranging from societal norms and weather to income and public health policies. According to the CIA World Factbook, the highest levels of alcohol consumption remain prevalent in developed nations.

Here’s a look at the countries that consume the most alcohol per capita:

Slovenia: #10

In 10th place comes Slovenia, a small country in southeastern Europe south of Austria. They consume 11.05 liters of alcohol per capita.

Alcohol and Culture

Slovenia is known to have what’s referred to as a “wet culture,” which means that alcohol use is widely accepted. Similar to the U.S., alcoholic beverages serve as a social bond and are regularly consumed at celebrations and important life events. Alcohol consumption among young people remains high by international standards: 27% of 15-year-olds and 52% of 17-year-olds report having been drunk at least twice in their life.

Alcohol Use Statistics

In general, Slovenia’s alcohol consumption is between 2 and 2.5 times higher than the world average. Sadly, alcohol is directly associated with two deaths a day in the country. And road accidents caused by drunk drivers claim an average of 75 lives every year.

Alcohol and Mental Health

Alcohol use in Slovenia is closely linked with mental health issues, including higher rates of depression and suicide associated with excessive drinking. Public health initiatives increasingly address these intertwined challenges, aiming to provide holistic support to those who are struggling with alcohol misuse and related issues.

Government Policies

The dangers of excessive alcohol use have been on the government’s radar since 1834, when public health campaigns to curb use were first initiated. In response to recent challenges, Slovenia implemented a comprehensive alcohol policy in 2003 aimed at reducing consumption and mitigating alcohol-related harm. This policy faced opposition from various business interests and political figures but ultimately passed. It has shown effectiveness in reducing alcohol consumption rates and alcohol-related mortality​.

Word of Advice

• Explore Alternatives: Slovenia has plenty of non-alcoholic versions of your favorite drinks available! Explore new herbal teas and fruit-infused waters for a healthier alternative.
• Seek support. Consider joining a local support group or consulting with a healthcare provider for personalized advice and guidance.

Bulgaria: #9

Bulgaria — bordered by Romania to the north, Serbia and North Macedonia to the west, Greece and Turkey to the south, and the Black Sea to the east — comes in 9th place, consuming about 11.18 liters of alcohol per capita.

Alcohol and Culture

Bulgaria is known for its rich traditions in wine production, which dates back to ancient times. Its drinking culture is deeply intertwined with its social and celebratory customs, often featuring local wines and rakia, a fruit brandy. Unfortunately, this has also led to high rates of alcohol-related harm, including health issues and social problems.

Alcohol and Mental Health

Alcohol consumption in Bulgaria is linked with various mental health issues. The cultural norm of alcohol consumption can worsen conditions such as depression and anxiety, making it important for public health initiatives to address both alcohol use and mental health at the same time.

Government Policies

Bulgaria has implemented various regulations concerning alcohol, such as restricting the sale hours of alcohol and setting the legal drinking age to 18. These laws aim to manage consumption and mitigate the negative effects of alcohol abuse on society​

Word of Advice

Mindful drinking. Pay attention to how much you drink and try to set limits for yourself each time you decide to drink.


Educational resources. Use the public health campaigns and educational materials to better understand the effects of alcohol on your body and mind.

France: #8

France consumes an average of 11.44 liters of alcohol per year. Interestingly, France consumes more alcohol than any other top country by GDP and also has an above-average life expectancy. Even so, France is also among the countries with the most years of life lost to alcohol. 

Alcohol and Culture

Wine is one of the products almost synonymous with France, with different varieties having a rich history in particular regions. The wine regions of France, like Bordeaux, Burgundy, and the Rhône Valley, are not only celebrated for their historic contributions to viticulture but also form a vital part of the local and national economy. It’s also present at most celebrations and events. However, drinking in excess isn’t part of the tradition — moderation is key!

Alcohol Use Statistics

Furthermore, a recent report found that a third of French adults have a drinking problem. A separate study noted that people in France drink alcohol on 132 days of the year, well above the global average of 101. 

Perhaps unsurprisingly, France also drinks significantly more wine than any other country, and has one of the biggest wine regions in the world. They have the highest number of wine servings per capita — a whopping 370. 

But there’s good news for France. Reports indicate that alcohol use among French adolescents has dropped significantly over the last decade. 

Alcohol and Mental Health

Alcohol use in France is also linked with mental health issues, with public health initiatives increasingly focusing on the dual challenges of alcohol dependency and mental health disorders. Efforts to promote mental well-being often include addressing the cultural norms around alcohol consumption​.

Government Policies

France has been trying to manage alcohol use through the designation of protected geographical indications, strict labeling requirements, and efforts to control the advertising of alcoholic beverages. These policies are part of broader European Union regulations that also influence how alcohol is produced and sold in France.

Word of Advice

• Seek support. Take advantage of local health services that offer support for reducing alcohol consumption, including workshops and online resources.
• Explore alternatives. Sure, France is famous for its wines, but there’s so much more to explore! Focus on trying local cuisine instead and take the focus off booze.


Estonia: #7

Estonia comes in 7th, with about 11.65 liters per capita per year. Located in Northern Europe on the eastern coast of the Baltic Sea, Estonia is bordered by Latvia to the south, Russia to the east, and shares maritime borders with Finland to the north, across the Gulf of Finland. Estonia is the northernmost of the three Baltic states, which also include Latvia and Lithuania. It has a diverse landscape that includes a long coastline, numerous lakes, and forested areas, contributing to its unique natural beauty.

Alcohol and Culture

This Northern European country, known for its digital innovation and picturesque landscapes, also has a complex relationship with alcohol. Historically, Estonia has a tradition of consuming vodka and other spirits, but recent years have seen a shift towards beer and craft beverages as well.

Government Policies

The Estonian government has been proactive in addressing the high rates of alcohol consumption. In 2018, Estonia implemented a significant increase in alcohol taxes and introduced stricter advertising rules to curb alcohol use. These measures aim to reduce the health impact of drinking, which includes higher risks of liver diseases and alcohol-related accidents.

Despite these efforts, drinking remains a significant part of social life in Estonia. It is common for alcohol to be consumed at social gatherings and celebrations. However, public health campaigns and policy changes continue to emphasize moderation and the potential harms of excessive drinking.

Alcohol and Mental Health

In Estonia, there is an acknowledgment of the strong link between alcohol use and mental health issues. The government's health initiatives often address both alcohol dependency and mental health together, aiming to provide holistic support to individuals affected by both conditions.

Word of Advice

• Stay informed. Familiarize yourself with Estonia's drinking guidelines which recommend a maximum of 40g of alcohol per day for men and 20g for women, with at least three alcohol-free days each week.
• Focus on culture. Estonia has so much to offer! For example, check out the “medieval marvels of Tallinn” — the enchanting architecture is right out of story books!

Antigua and Barbuda: #6

In 6th place, Antigua and Barbuda — a country located in the Caribbean Sea — consists of two major islands, Antigua and Barbuda, along with a number of smaller islands. Situated to the east of Puerto Rico and the Virgin Islands and to the north of Guadeloupe, this island nation is part of the Lesser Antilles archipelago. The capital city, St. John's, is situated on Antigua, which is the larger and more populous of the two main islands.

Alcohol and Culture

The islands have a festive drinking culture, often linked to tourism and local festivals. Rum is particularly popular, reflecting its historical significance in the Caribbean. However, there is growing awareness and education about the risks associated with excessive drinking.

Word of Advice

• Connect with community. Engage with local health services that offer counseling and support groups for those looking to reduce or quit alcohol.
• Enjoy the culture. Try out the many cultural offerings that go beyond booze. For example, learn about the history of the festivals in the Caribbean and share your knowledge with others.

Austria: #5

Austria stands at number 5 with an average consumption of 11.9 liters per capita. 

Alcohol and Culture

Austria has a rich tradition in the production and consumption of alcoholic beverages, especially beer and wine. Wine, in particular, is deeply ingrained in Austrian culture, with the country known for its high-quality vineyards and wine production. The social life in Austria often revolves around local Heurigen (wine taverns), which are popular spots for socializing .

Austrian culture often celebrates beer and wine, which are seen as central to social gatherings and traditional events. 

Government Policies

Despite this, there is a strong emphasis on moderation, and public health campaigns actively work to reduce the prevalence of alcohol-related problems.

Word of Advice

• Opt for moderation. Austria's drinking guidelines suggest consuming no more than 24g of alcohol per day for men and 16g for women, with a couple of alcohol-free days each week to prevent habitual drinking. Try to stick to them!
• Focus on culture. Austria has so much more to offer than alcohol. Engage with the country’s rich history, art, and architecture. For example, visit the Salzburg Easter festival with all of its magnificent musical events!

Lithuania: #4

Lithuania — bordered by Latvia to the north, Belarus to the east and south, Poland to the south, and Russia (Kaliningrad Oblast) to the southwest — has an average per capita consumption of 11.93 liters.

Alcohol and Culture

Historically, Lithuania has had a strong tradition of home brewing, particularly of beer and mead, the latter being a historic beverage dating back to medieval times. Mead, made from honey, has seen a revival in Lithuania as part of a broader interest in national heritage and traditional crafts.

Drinking is common as a part of Lithuanian celebrations, and remains a staple at weddings, birthdays, and national holidays like Joninės (Midsummer). It is also common to drink in smaller, more intimate gatherings, often accompanied by snacks or traditional Lithuanian dishes like cured meats and cheeses.

Government Policies

While alcohol remains a staple of social life, Lithuania has recognized the problems associated with high levels of alcohol consumption. It has one of the higher rates of alcohol consumption per capita in Europe, which has prompted governmental and societal attempts to curb alcohol use. These include stricter alcohol control policies, such as limiting the hours during which alcohol can be sold, raising taxes on alcoholic products, and banning alcohol advertising. Public health campaigns often focus on the risks associated with drinking, including alcohol dependency and its impact on families.

Word of Advice

• Focus on culture. Lithuania is another fascinating country with lots of historical, cultural, and artistic wonders to explore. For example, check out the Art Deco Museum in Vilnius or the beautiful Baltic sea beaches.
• Engage with the community. People are always your best resource, and there’s plenty of alcohol awareness and support groups to be found. Use them!

Czechia: #3

Czechia — a landlocked country in Central Europe, sharing borders with Germany, Poland, Austria, and Slovakia — is third on the list. People there annually consume 12.73 liters of alcohol. 

Alcohol Statistics

Czechia is also among the countries with the most years of life lost due to annual alcohol consumption. Furthermore, one study found that the Czech Republic has one of the worst records in Europe for underage drinking, with just over 40% of 15-year-olds admitting they drink alcohol on a regular basis. 

Recent studies show that almost one-tenth of adults in the Czechia — around 900,000 people — drink alcohol every day, and around 1.5 million drink hazardously. 

Alcohol and Culture

Czechs in particular are known for their beer consumption. In fact, Czechia has long topped international rankings for beer consumption, guzzling down about 160 liters of it per capita annually. This beats other popular beer-drinking nations, such as Germany, Ireland, and Belgium.

Government Policies

The widespread consumption of alcohol in Czechia has raised significant public health concerns. The high levels of alcohol consumption have been linked to various health issues, including an increase in alcohol-related diseases and a substantial annual death toll attributed to alcohol use​. 

In response to the alcohol-related health burden, the Czech government has considered implementing policies such as increasing alcohol taxes. These measures aim to reduce consumption and mitigate the public health impact of alcohol use​.

Word of Advice

Explore the history. When it comes to cultural and historical sites, Czechia is hard to match. Check out the Prague Astronomical clock (you’ve probably seen images before without realizing it) or the famous Charles Bridge, for starters.

Latvia: #2

Latvia — which is bordered by Estonia to the north, Russia to the east, Belarus to the southeast, and Lithuania to the south — is second on the list, consuming 12.9 liters of alcohol each year. 

Alcohol and Culture

Drinking here is often associated with social activities, but the country has recognized the negative impacts of high alcohol consumption, leading to stricter regulations and public awareness campaigns aimed at reducing alcohol abuse.

Government Policies

Latvia has implemented various measures to curb alcohol consumption, including increasing the legal drinking age to 20 and restricting sales times. These initiatives aim to reduce the negative impacts of alcohol on the younger population and the society at large

Word of Advice

• Stroll on the sea. Like Lithuania, Latvia is located on the Baltic Sea. Explore the beautiful beaches for some booze-free fun!
• Dive into the culture. Riga is a treasure trove of unique architecture, art, and music. Dive in and you’ll forget all about alcohol — there’s so much to explore.

Cook Islands: #1

And finally, the “winner” — Cook Islands, located in the South Pacific Ocean, northeast of New Zealand and between French Polynesia and American Samoa — consumes a whopping 12.97 liters per year!

This group of islands is an independent nation in free association with New Zealand. The Cook Islands are composed of 15 small islands scattered over a large area of the Pacific, and their total land area is about 240 square kilometers.

Alcohol and Culture

Alcohol consumption here is closely linked to social and cultural practices, but like many Pacific nations, there are concerns about the health implications of such high levels of consumption. Efforts to promote responsible drinking are crucial in maintaining the community’s health.

Government Policies

The Cook Islands' approach to alcohol policy puts the emphasis on community well-being and includes regulations that are typical in many countries, such as licensing requirements for alcohol sales. These policies aim to manage consumption responsibly within the community and tourism activities​.

Word of Advice

• Explore the markets. The Punanga Nui Market in Rarotonga is a central social hub where you can enjoy local produce, music, dance performances, and crafts.
• Participate in festivals. The Cook Islands are known for their fascinating festivals. For example, the Te Maeva Nui festival includes performances, parades, and exhibitions that showcase the Cook Islands' heritage through arts, crafts, music, and dance. It's a vibrant celebration of national pride held around the Cook Islands' Constitution Day on August 4th​. 

Where Is the United States on the List? 

So, what about the United States? Where does it fall on the list? The U.S. claims the 35th spot, drinking an average of 8.93 liters of alcohol per capita annually.

Interestingly, even though the U.S. has one of the lowest alcohol use rates per capita of first-world countries, we have a higher rate of alcohol abuse than many other countries, including Belgium, Germany, and France. In fact, about 15 million people struggle with alcohol use disorder in the U.S. 

Why These Numbers Are So Concerning

Alcohol is part of the lifestyle and culture of many countries around the world. In many ways, it’s normalized and widely accepted; sometimes, it’s even encouraged. However, overindulging or regularly consuming alcohol can have serious, long-term consequences for our physical, mental, and emotional health. 

Drinking alcohol puts us at a greater risk for many serious health conditions, including liver disease, heart disease, cancer, and cognitive impairments like dementia and Alzheimer’s. Even small amounts of alcohol here and there can affect our mental health and well-being.

If you’re struggling to manage your alcohol consumption, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people cut back on their alcohol consumption and develop healthier lifestyles.