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Based on a collection of estimates, over the past 9,000 years, there have been at least 48 cities with a claim to the title of "the world's most populous city". While these can be found on four separate continents, the majority are concentrated in three major regions; 12 of these cities were in present-day Iraq or Syria (then-Mesopotamia), nine were in China, and seven in Egypt. Additionally, many of these cities were found across the Mediterranean, not only during Antiquity (Alexandria, Carthage, and Rome), but also during the Middle Ages (Constantinople, Cordova, and Fez), highlighting the economic significance of this region throughout history.

Many of the older entries in this list are now just archeological sites, although several have been continuously inhabited for millennia, such as Luoyang and Xi'an in China, which both have populations of several million in 2022. It may also be possible that the first entry, Jericho, is the world's oldest, continuously inhabited settlement, although this is a topic of debate.