They don’t. But I’ve explored launching a EU-based business that focuses on large businesses and Hetzner was one of the logical players. Good managed services without US exposure are really rare.

I run some smaller stuff on Hetzner. Have for the last 5-10 years and never had any issues. If Hetzner added managed Postgres, something like Cloud Run, and maybe PubSub I’d be moving over a bunch more stuff.