Tuscany is a beautiful region in Italy, known for its rich culture, historic landmarks, scenic countryside, and culinary delights. Here are some suggestions for things to do in Tuscany as a tourist from the United States:

- Visit Florence: This city is the cultural capital of Tuscany, and home to numerous art museums, galleries, and historic landmarks such as the Duomo, Ponte Vecchio, and Uffizi Gallery.

- Explore the Tuscan Countryside: Tuscany is known for its scenic landscapes, and there are many opportunities to take a scenic drive, hike, or bike ride through the rolling hills, vineyards, and olive groves.

- Take a Wine Tour: Tuscany is one of the world's most renowned wine regions, and there are many vineyards and wineries that offer tastings, tours, and food pairings.

- Visit Siena: This medieval city is a UNESCO World Heritage Site, and is famous for its stunning architecture, Piazza del Campo, and the Palio horse race.

- Try Tuscan Cuisine: Tuscany is known for its delicious cuisine, which includes specialties such as ribollita (a hearty soup), pici (a type of pasta), and bistecca alla Fiorentina (a thick-cut steak).

- Visit Pisa: This city is famous for its leaning tower, which is a UNESCO World Heritage Site, but also has other landmarks such as the Cathedral and Baptistery.

- Visit San Gimignano: This medieval town is famous for its 14 towers, which dominate the skyline and provide stunning views of the surrounding countryside.

- Take a Cooking Class: Tuscany is a great place to learn how to cook traditional Italian dishes, and there are many cooking schools and classes that offer hands-on experiences.

- Visit the Tuscan Coast: Tuscany has a beautiful coastline, with sandy beaches and clear waters. Popular beach towns include Viareggio, Forte dei Marmi, and Castiglione della Pescaia.

- Attend a Festival: Tuscany has many festivals and events throughout the year, such as the Palio di Siena, the Viareggio Carnival, and the Festa della Rificolona in Florence.