Climate variability and change can negatively impact sensitive coral reef ecosystems by altering sea surface temperatures, ocean carbonate concentrations, sea level, storm surges, precipitation patterns, stream flows to the coast, salinity, and pollution loads. This report focuses on the coral reefs of American Samoa as a case study for how managers can approach (1) assessments of reef vulnerabilities to climate change and interacting stressors, (2) identification of adaptive management strategies in response, and (3) integration of management options with existing decision processes and mandates. Large-scale climate stressors in American Samoa to assess reef vulnerabilities to climate-related impacts such as coral bleaching. Based on this information, this information, this report presents some adaptive management strategies that could be implemented immediately (e.g., water quality improvements), in the near-term (e.g., enhanced strategic monitoring), and in the long-term (e.g., resilience planning). In each case, management options are considered in a decision making context i.e., in terms of how such strategies relate to existing plans, processes, and mandates.