Pennsyltucky

It is used to characterize—usually humorously, but sometimes deprecatingly—the rural part of Pennsylvania outside the Pittsburgh and Philadelphia metropolitan areas, more specifically applied to the local people and culture of its mountainous central Appalachian region.

Pittsburgh did not grow radially as most other major American cities but resembled a miles-long "spider" of urbanity down river valleys such as the Monongahela, Allegheny, Chartiers and Beaver among others.

For much of the 20th century the result was a major sprawling metropolis that just a mile on either side of the valley was as wild and natural as the most remote parts of the state.

Even with today's suburban sprawl, very wild bluffs and hollows remain as a web of "green belts" throughout the Pittsburgh metro area.

[8] The modern popularization of the term is commonly associated with Democratic political consultant James Carville, who worked on President Bill Clinton's first presidential campaign.