The purpose of this study was to assess healthy city level of the selected cities of Korea, Japan, and England using healthy city index. Based on WHO health city profile, this study proposed 5 index domains comprised with human biology, life style, shelter & socioeconomic data, environmental & infrastructural data, and public health policy and services. We identified 6 cities (Changwon, Wonju, Seoul, Ichikawa, Fukuroi and Brighton). The human biology level of Korean cities was better than that of Ichikawa, Fukuroi, and Brighton city except Wonju. But the shelter & socioeconomic index level of the foreign cities was better than that of Korean cities. In the environmental & infrastructural idex, even though Changwon city showed the highest level among healthy cities in this study, other Korean cities had lower level compared to the foreign cities. In the public health policy and services index level, except Wonju, Korean cities had lower level than that of all foreign cities. In comparing a summative evaluation index of all proposed index, Ichikawa and Fukuroi had the highest level of city health but Seoul city had the lowest healthy level. Changwon and Wonju had higher level of city health compare to that of Brighton and Seoul. To promote the level of city health, those findings could contribute to healthy city planning processes in terms of identifying any weakness and strength of the cities selected in this study.