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Cannabis is illegal in American Samoa, regardless of whether it’s medical or recreational. The United States territory takes a relatively firm stance on cannabis products, including those derived from the cannabinoid cannabidiol (CBD). CBD is considered “marijuana” in American Samoa and is equally restricted.
Possession of any amount of cannabis carries a mandatory $5,000 fine and up to five years in prison. Cannabis use is not uncommon on the island and is the most widely-used illicit drug on the market.
Cannabis grows naturally on the island, with little import from other countries. Even though marijuana grows in the wild in American Samoa, it’s illegal to grow it and can result in the same penalties as possessing cannabis.