This chapter examines the effects of the Cold War upon the states of the Middle East. Although the region was not so profoundly affected as other parts of the world in terms of loss of life or major revolutionary upheaval, it is clear that the lack of democracy and many decades of distorted political development in the Middle East are in great part a legacy of the region's involvement at the interstices of Soviet and American foreign policy. After a brief discussion of early manifestations of USSR–US rivalry in Greece, Turkey, and Iran at the beginning of the Cold War, the chapter uses Iraq as a case study of the changing nature of the relations between a Middle Eastern state and both superpowers from the 1940s until the collapse of the Soviet Union.