The annual Mercer Quality of Living Survey is out, and not a single U.S. city even comes close to making the top 20.

To get to the first U.S. city on Mercer’s list of most liveable cities, you’ll have to scroll pretty far; the first U.S. city ranked is San Francisco, coming in at No. 30. The next U.S. city on the list is Boston, at No. 35, followed by Honolulu at No. 36.

For the ninth year in a row, Vienna comes in at No. 1 as the most livable city in the world. Austria’s capital is seemingly unbeatable in the survey, which ranks cities based on criteria such as political stability, health care, education, crime, recreation and transport. Eight of the top 10 cities on Mercer’s list are also in Europe, including the German cities Munich, Düsseldorf and Frankfurt and Geneva, Switzerland
Here are the top 20 cities in the world, based on quality of life:
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