Including towns and cities such as Worcester, Gloucester, Cheltenham, Hereford, Leominster, Stourbridge and Kidderminster, they extend from the southern boundaries of Birmingham in the north to Bristol in the south. Traditionally rugby union and cricket playing areas, there is a Three Counties Showground situated in the Worcestershire town of Malvern that holds an annual agricultural show, and the area is also referred to in the names of local businesses and in the Three Counties Cider and Perry Association - the popular apple and pear derived alcoholic beverages, some of the finest of which are made in this area.
The Three Choirs Festival is a festival of sacred choral music which has been held since 1724. It rotates between the three county towns (Worcester, Hereford and Gloucester). It often features music by local composer Edward Elgar.
The expression is sometimes used for other groups of three counties, such as in BBC Three Counties Radio which refers to Bedfordshire, Buckinghamshire and Hertfordshire, or in Rugby Union where it may refer to Nottinghamshire, Lincolnshire and Derbyshire.