The wealthiest of the early Medieval towns were found in France at the beginning of the period. There was a caste-like system among the citizens of many countries where one person ruled over many that were farming the land owned by the ruler. Later, the wealth started to shift to other countries as the peasants refused to be held in serfdom.
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Medieval towns were crowded because serfs wanted more freedom and moved out of the manor land to towns.
Some medieval towns transportations were wagons or carriages. Some people just walked.
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Many medieval towns were clean by their standards, which would have meant uncluttered, without foul odors, and so on. The medieval people did not understand anything about bacteria, viruses, and disease vectors, so in some modern senses, the towns were not clean; for example you could not trust the water.
usually Medieval Towns were part of a kingdom that is ruled by a king. So, technically a king ruled the Medieval Towns ----- In the earlier Middle Ages, the towns were largely under the control of the local lords, who answered to monarchs. But the local lords often lost control of the towns, as merchant and craft groups became stronger, which began in the Early Middle Ages. In the later parts of the Middle Ages, the political power in towns was often held by guilds or groups of guilds acting together. Some towns and cities, called communes, had republican governments. Some were independent of any monarch, and this was especially true in Italy. Others, though locally republican, were at least nominally subject to a king or emperor.