Since Takamiyama first blazed a trail to Japan in 1964, 30 other Americans have followed the giant Hawaiian into professional sumo.
Akebono and Musashimaru reached the pinnacle of the sport, earning promotion to yokozuna and lifting multiple Emperor's Cups, while Konishiki was a title-winning ozeki whose fame arguably eclipsed that of any other foreigner in the history of the sport.
Outside of the Hawaiians though, the United States has had a limited impact in ōzumō (professional sumo).