Congratulations, Wisconsin. You've officially earned the title of Drunkest State in America.

According to data collected by 24/7 Wall Street, 17 of the 20 drunkest cities in the U.S. are based in the Mid-West. And of those 17 cities, 12 are located in "America's Dairyland," with Appleton, WI taking the prize for the drunkest town in the nation. The report used County Health Rankings & Roadmaps to determine the percentage of adults who report "binge or heavy drinking" across 381 metro areas. A binge-drinker is defined as a man who consumes more than five drinks—or a woman who consumers more than four drinks—in the course of roughly two hours, according to the Center for Disease Control and Prevention

"Appleton is home to the largest share of binge and heavy drinkers in both Wisconsin and the country," the study reads, adding that a whopping 26.8% of adults in the city drink to excess.

“We’ve known for a long time both in Wisconsin and in Appleton that we have a culture of alcohol," Kurt Eggebrecht, Appleton’s public health director​, told Fox 6. "I think availability of alcohol, price of alcohol, is a factor as well. In Wisconsin, it’s very inexpensive to purchase and drink alcohol compared to other states. So the availability and price I think do factor in."

Still, one Appleton resident had a simpler explanation: “Beer and cheese. Beer and cheese. Beer and cheese. It’s like a rite of passage or something — is how people treat it,” the citizen said.

Here's a complete list of the 20 drunkest cities in the U.S.:

  • 20. Corvallis, OR
  • 19. Iowa City, IA
  • 18. Lincoln, NE
  • 17. Milwaukee-Waukesha-West Allis, WI
  • 16. Janesville-Beloit, WI
  • 15. Racine, WI
  • 14. Grand Forks, ND-MN
  • 13. Missoula, MT
  • 12. Sheboygan, WI
  • 11. Wausau, WI
  • 10. Mankato-North Mankato, MN
  • 9. Eau Claire, WI
  • 8. Ames, IA
  • 7. Fond du Lac, WI
  • 6. La Crosse-Onalaska, WI-MN
  • 5. Fargo, ND-MN
  • 4. Madison, WI
  • 3. Green Bay, WI
  • 2. Oshkosh-Neenah, WI
  • 1. Appleton, WI

The driest city in America? Provo-Orem, Utah. 

[via 24/7 Wall Street