At the 2008 Beijing Olympics, she won a team silver medal. Sacramone also participated in her first international competition in 2003, the Massilia Cup in France, where she placed fourth on the floor exercise and ninth on vault.Senior career2004In 2004, Sacramone earned a spot on the US team for the Pacific Alliance Championships in Hawaii.
In 2010, Sacramone made a comeback by winning the National Championship on Vault. She contributed several scores to help the team to a gold medal finish and won the individual vault title.
She was the first female American gymnast since Kelly Garrison in the late 1980s to combine full-time university studies and NCAA competition with elite gymnastics.During Sacramone's first year with the Brown Bears, she broke the school's records for the highest scores in the all-around, vault and floor exercise.Meanwhile, the losing team will nominate its own LVP to face the other nominee in the elimination challenge.Only one person will survive the competition and earn a right to stay.Later in 2010 at the World Championships in Rotterdam, Netherlands, she won the World Title on Vault as well. Her gold gave her a total of nine medals overall, joining Shannon Miller and Nastia Liukin as the U. athletes with the most medals at the gymnastics world championships. Sacramone's strong performances caught the attention of the media, who began to consider her a legitimate contender for the American team at the 2004 Olympics in Athens.However, at the 2004 U. Nationals, an error-filled performance dashed Sacramone's hopes of an Olympic berth.Sacramone has become noteworthy for supportive leadership of her teammates as well as outspoken remarks in interviews. National Championships, she placed 22nd, but achieved a seventh place finish on the balance beam. Her results improved immensely the next year, when she placed 14th in the all-around and won a bronze medal on the vault at the 2003 U. Although she tied with Mohini Bhardwaj for the silver medal on the vault, she finished in 19th place overall and did not qualify to the Olympic Trials.