Occasionally, cities become infamous for a horrible reputation. In fact, some American cities have developed a genuinely terrible reputation, whether they’re deserved it not! Without further ado, here are 30 cities that are beginning to suffer from their poor reputation severely. Hopefully, they’ll start to improve things, but we’re not seeing many improvements any time soon. What do you think about our choices? Did we leave a city out?

4St. Louis, Missouri

While St. Louis is well-known for cool landmarks like the Gateway Arch, Union Station and the St. Louis Zoo, a few seedy statistics give this American heartland city a bad rap. St. Louis has earned the “distinction” of having the most cosmetic surgeons, obesity and violence, per capita, than any other U.S. city. If that doesn’t scream, “Stay away!” I don’t know what does.