To identify Europe’s leading wellness capitals, we assessed 25 cities across eight key factors, combining infrastructure, environment, and lifestyle indicators. Each factor offers insight into how well a city supports physical health, mental well-being, and a holistic, balanced lifestyle. Cities were selected based on their existing reputation for wellness offerings and to ensure broad coverage of the European landscape.
Scoring
All factors were normalized to allow comparison between cities of different sizes, then weighted equally to create the final score. This approach balances tangible wellness infrastructure with overall quality of life, giving a well-rounded view of which European cities best support health, recovery, and well-being. The final scores were standardized from 0 – 100, with 0 being the lowest score and 100 the highest. An average score was calculated for each city to establish the final ranking.
Spa & Wellness Facilities
This factor captures the total number of spas, wellness centers, and hotels offering wellness-related services such as saunas, massages, beauty treatments, and relaxation facilities within the city limits. It reflects how accessible wellness infrastructure is to residents and visitors, and indicates the degree to which a city encourages rest, recovery, and self-care. The final scoring has been awarded for the amount of spas per 10,000 residents (Source: Tripadvisor)
Thermal Spring Access
Natural geothermal springs provide unique health benefits, from soothing sore muscles to promoting relaxation and circulation. Cities were scored based on the proximity and availability of thermal springs:
- 3 = good availability, strong presence within city limits
- 2 = confirmed spring within 50 km or one hour of travel
- 1 = minor or uncertain presence
- 0 = no accessible springs
(Source: Google Maps)
Outdoor Fitness Facilities
Public outdoor exercise installations, including fitness stations, calisthenics parks, and outdoor gyms, encourage daily physical activity and support a healthy lifestyle. We measured the number of such facilities per 100,000 residents, allowing for fair comparisons between cities of different sizes. (Source: calisthenics-parks.com)
Overall Life Satisfaction
Wellness is more than infrastructure—it is also about how people feel in their daily lives. Life satisfaction scores, drawn from the World Happiness Report, reflect residents’ overall sense of well-being, considering health, social support, safety, and fulfillment. Scored from 0 (lowest) to 10 (highest), this factor captures the lived experience of wellness. (Source: World Happiness Report)
Access to Green Spaces
Access to parks, gardens, and natural habitats supports mental and physical health, encourages exercise, and provides spaces for relaxation and stress relief. Cities were scored from 1 (limited green space) to 4 (extensive, easily accessible green areas). (Source: Individual city reports)
Alternative Wellness Facilities
Next-generation wellness services—including drip hydration, cryotherapy, red-light therapy, and pneumatic compression—reflect a city’s openness to innovative, next-generation health and recovery services. Cities were scored from 1 (few providers) to 4 (many providers and a wide variety), reflecting how easily residents can explore experimental and preventive wellness options. (Source: Google Maps). This scoring was used in order to provide a realistic assessment of studio availability, as Google Maps does not display all facilities that fall under this category. The scale therefore reflects overall access rather than exact counts.
Yoga & Meditation Facilities
Mind-body practices like yoga and meditation are critical for stress management, mindfulness, and overall wellness. We measured the number of studios per capita and scored cities from 1 (limited options) to 4 (high availability), adjusted for population size. (Source: Google Maps). This scoring was used in order to provide a realistic assessment of studio availability, as Google Maps does not display all yoga or meditation facilities. The scale therefore reflects overall access rather than exact counts.
Air Quality
Clean air is fundamental to health and longevity. We used annual mean PM2.5 concentration (µg/m³) to measure levels of fine particulate matter in each city. Lower PM2.5 values correspond to cleaner air in each city and indicate healthier environments with reduced risks for respiratory and cardiovascular diseases. (Source: Greenpeace Air Quality Report)