Neighbouring El Salvador and Guatemala, Ocotepeque is a rather modern city, which suffered from a landslide in 1934; The town was then moved to 5 km from its old site, which still houses a colonial church and the remains of an neo-colonial house. The two border countries can be accessed in El Salvador by El Poy and Guatemala by Agua Caliente. On the other side is the Guatemalan town of Esquipulas.

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