As Americans grapple with rising costs and economic uncertainty, a troubling pattern of financial distress is emerging across the nation’s largest cities. A new WalletHub study reveals that millions of urban residents are struggling to keep up with their bills,

Several southern cities ranked highest in WalletHub's report analyzing the top U.S. metros with the most people in financial distress.

To determine cities people are in the most financial distress, WalletHub compared the 100 largest American cities in six overall categories: