Lack of culture and education mostly. Lack of anonymity. Tribalism. Gossip. Conservatism. Racism. Good ol boys. Local government corruption. Brain drain. Shrink

Lack of culture and education mostly. Lack of anonymity. Tribalism. Gossip. Conservatism. Racism. Good ol boys. Local government corruption. Brain drain. Shrinking populations. Low wage jobs. Tiny or non-existent dating pool. Hospital far away, possibly no ambulance service. No childcare. No decent stores other than Walmart or Dollar General. Have to drive literally everywhere. The only thing "small town living" has going for it is the scenery.