The 23rd annual China Business Climate Survey Report by the American Chamber of Commerce in the People's Republic of China provides insights into the performance and sentiment of American businesses in China in 2020. The report highlights the impact of the COVID-19 pandemic on businesses, including disruptions to operations, remote work, travel restrictions, and economic contraction. The report also examines the challenges and opportunities for businesses in China, including investment outlook, regulatory environment, human resources, and innovation. Additionally, the report discusses the impact of US-China tensions on American businesses in China.