For another year, Green Bay comes in first in USA Today's ranking of the drunkest cities in America.

It's a study that measures the percentage of people who excessively drink on a regular basis. That means, four or more drinks at a time for women. For men, five or more.

According to USA Today, 26.5% of adults in Green Bay excessively drink. This is the only metro area in Wisconsin with a higher excessive drinking rate than the statewide average.

Here is the list of the top 20 cities:

1). Green Bay, Wis.

2). Eau Claire, Wis.

3). Appleton, Wis.

4). Madison, Wis.

5). Fargo, N.D.-Minn.

6). Oshkosh-Neenah, Wis.

7). Missoula, Mont.

8). Grand Forks, N.D.-Minn.

9). Wausau, Wis.

10). La Crosse-Onalaska, Wis.-Minn.

11). Mankato-North Mankato, Minn.

12). Fond du Lac, Wis.

13). Iowa City, Iowa

14). Dubuque, Iowa

15). Sheboygan, Wis.

16). Watertown-Fort Drum, N.Y.

17). Lincoln, Neb.

18). Fairbanks, Alaska

19). Ames, Iowa

20). Milwaukee-Waukesha-West Allis, Wis.