At the 2016 Summer Olympics in Rio de Janeiro, Biles won individual gold medals in the all-around, vault, and floor; bronze on balance beam; and gold as part of the United States team, dubbed the "Final Five". At the 2020 Summer Olympics in Tokyo, she won bronze on balance beam, as well as silver with the United States team, after struggling with "the twisties", a temporary loss of air balance awareness. Her partial withdrawal, focus on safety, mental health and perseverance were praised. Biles is also a five-time World all-around champion (2013–2015, 2018–2019), five-time World floor exercise champion (2013–2015, 2018–2019), three-time World balance beam champion (2014–2015, 2019), two-time World vault champion (2018–2019), a seven-time United States national all-around champion (2013–2016, 2018–2019, 2021), and a member of the gold medal-winning American teams at the 2014, 2015, 2018, and 2019 World Artistic Gymnastics Championships. Additionally, she is a three-time World silver medalist (2013 and 2014 on vault, 2018 on uneven bars) and a three-time World bronze medalist (2015 on vault, 2013 and 2018 on balance beam).