The Fast Food Capital Of The US Is One Appalachian State - Tasting Table
Briefly

West Virginia takes the title of the fast-food capital of the U.S., boasting 49.04 fast food restaurants per 100,000 residents, significantly outpacing other states.
The survey revealed that West Virginia has nearly 900 fast food restaurants, including a notable concentration of franchise operations such as Subway, McDonald's, and Wendy's.
While West Virginia is recognized for its fast food outlets, it also offers culinary treasures and unique experiences that reflect its local culture and preferences.
In comparison, Vermont and New York have the fewest fast food establishments at 27.65 and 29.47 restaurants per 100,000 people, showcasing regional variances in fast food presence.
Read at Tasting Table
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