Europe Size 18 to US: 2XL
Cross-market adult bracelet and cuff apparel conversion mapping 18 specifications into 2XL.

Analyzing Size Equivalence Across Markets
Europe Size 18: Corresponds to a wrist circumference baseline of 16.5 (6.5 ), bracelet length of 18 (7.1 ), and fit classification Standard / Regular.
US: 2XL: Corresponds to a wrist circumference baseline of 20.5 (8.1 ), bracelet length of 22.5 (8.9 ), and fit classification Relaxed / Expanded.