The Wallcreeper by Nell Zink:
No one was sleek or fluffy in Berlin, not even me. In four weeks I didn’t see a single good-looking person on the street. Once in an upscale beer garden in a park I saw young moms and dads who seemed to have gotten some sleep. But everyone else was ashen, and too warmly dressed. It would be in the sixties, and the girls would be wearing army surplus overcoats and ski caps with pompoms, skin all wintry and sallow as if they had consumed nothing but nicotine and pasta for the last six months and lived in dungeons. The boys appeared even on chilly days in T-shirts, their faces flushed with beer. People routinely wore clothes that didn’t fit at all, with wrists and belly buttons hanging out.
Except for the space-needle-type TV towers, there was no place to look down at anything. You were always looking out and up until your gaze was arrested by the next moving car.
Every time we ate out we became mildly physically ill.