Tunisia's entertainment culture reflects a North African Mediterranean synthesis that produces something genuinely distinct. The Carthage International Festival, held in the ruins of the Roman amphitheatre above Tunis in July and August, stages international music, theatre, and dance performances in a setting of extraordinary historical atmosphere — concerts here are among the most visually distinctive in the Mediterranean. The Dougga Festival performs classical music in a Roman theatre in active use. The malouf musical tradition — Andalusian-influenced classical music brought to Tunisia by Moorish refugees from Spain in 1492 — is performed in specific cultural institutions in Tunis and the northern cities. The café musical culture of the medinas adds a more spontaneous evening register.