Comparative empirical accounts of the local-level work of transnational PPPs are scarce in the academic literature (for some exceptions, see Compagnon, 2012; Hog, 2012; Jamali, 2004; Kolk and Lenfant, 2013; Marin, 2009). This chapter examines the local-level work of four public-private partnerships (PPPs) in areas of limited statehood in East Africa (Kenya and Uganda) and South Asia (Bangladesh and India). What happens when PPPs that were formed in multi-level governance contexts ‘hit the ground’ — that is, when they implement projects in diverse and challenging settings? And how do limited statehood and other area factors influence the effectiveness of PPP projects?