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Downtown SF, if you're talking the Financial District and Mid-Market, is flat.
SF's Financial District is built on landfill, which explains why downtown seems a lot flatter than the rest of the city. It's actually very amazing to see a map showing the original land area of SF; so much of the eastern part of the city was once entirely submerged by water. NYC and Seattle also have significant landfill to compensate for the limited land area. For Seattle's sake, the city effectively shaved off the tops of its hills in order to push that dirt into the Puget Sound thereby creating the Port of Seattle.
Idk why people keep mentioning Cincy. Cincy is beautiful. Downtown and OTR are amazing. Surrounding hills are stunning. But downtown is flat flat flat. Pittsburgh's downtown is flat too, isn't it? Most downtowns are relatively flat. Only actually hilly ones I can think of are LA, SF, Seattle, and Nashville has a slight slope. Probably others. But having hills/mountains surrounding the downtown downtown does not count as having a hilly downtown.
San fransisco is a hilly city but I don't recal it's actually downtown where the skyscrapers are being that hilly? I live in Seattle and every block east till the freeway you go up a hill and every block west you go down a hill.
Downtown Los Angeles is quite hilly. Though DTLA is quite a large area comprised of many smaller districts It is hard to tell because things get flattened and smoothed out but Bunker Hill is quite steep if you walk up Grand Ave. Across the 110 freeway on the City West district is actually hilly, too. Then on the otherside on Fort Moore where the high school is located is a high point and the hill went all the way to Olvera Street but was literally cut off and made flat. Then you got flat Chinatown business area but go towards Chinatown residential area it is up the hill.
Tulsa, Austin, Oklahoma City. Seattle, San Francisco too.
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