Appalachian gothic is a distinctly American aesthetic rooted in the folk horror, poverty, and isolated beauty of the Appalachian Mountain region, combining rural Americana with Southern Gothic atmosphere and the literary tradition of Flannery O'Connor and Cormac McCarthy. Worn denim overalls and work shirts do the everyday work. Faded floral print dresses come in cheap fabric. Knitwear is patched and re-patched. Heavy work boots, simple cotton bonnets, and hand-carved wooden jewelry complete it, and every piece suggests deep use, repair, and resourcefulness rather than deliberate styling.