The bells used in American handbell choirs are almost always English handbells. "English handbells" is a reference to a specific type of handbells, not to the country of origin. While some American handbell choirs do use bells made in England, the majority play bells made either by Malmark Bellcraftsmen or by Schulmerich Carillons, both based in Pennsylvania.

In the United Kingdom, there is a distinction between "American handbells" and "English handbells" — "English handbells" are traditional, with leather clapper heads and handles (such as the bells Whitechapel makes), while "American handbells" use modern materials, such as plastic and rubber, to produce the same effect (such as those produced by Malmark and Schulmerich). In America, however, they are all called English handbells