I think you mean “doesn’t use as much“. E5 has been the standard gasoline fuel blend across Europe for well over a decade, with E10 replacing it in the last couple of years. My local filling station was offering E10 as its standard Unleaded fuel about 10 years ago. Out of interest (I drive a diesel car, so haven’t been keeping track), I just checked the MSDS for their fuel and it says between 5 and 10% ethanol, which would make it E5. Like the USA, the amount of ethanol in your fuel largely depends on where you live and where you fill up.
Using US “regular”-grade gas in a high-compression engine like the 2.0T is a bad idea, but only because the engine controller will dial back performance a lot in an effort to control knocking; it won’t cause damage. Even though the book says use premium, using mid-grade is fine: mid-grade is the equivalent of the European 95 RON, the standard gasoline product sold in Europe.