This chapter analyses the policies of populist radical right party-led local governments in Austria, France, Italy and Switzerland. It assesses the extent to which their party ideology is evident. The analysis concerns three forms of policy: policy agendas, budgetary spending and policy designs. Each enables a different form of comparison to be made, through which the impact made by the parties and its cross-national variation is assessed. First, analysis of agendas reveals their policy priorities once elected into local government. These are compared with mainstream parties in similar contexts. Second, analysis of budgets shows the extent to which these priorities were realized in the form of spending. Comparison here is made with the preceding mainstream party-led local government in the same context. Third, analysis of their policies’ framing of target populations, policy tools and policy rationales demonstrates the varying extent to which they generate social constructions that align with party ideology. The leadership of local government by populist radical right parties in Western Europe is shown to lead to contrasting degrees and forms of policy impact.