To me, LECOM-E felt the same way, except there's a casino nearby. The nearest city (Cleveland and Pittsburgh) are about 2 hours away. Erie is a slightly better town than what you're describing, but not by much. Erie is one of the snowiest cities in the US.
At least there's Presque Isle State Park.
Erie has its own international airport (although perhaps the smallest one in existence) and several car mechanics that fix more than Fords (which was the recommended car at my LMU interview due to dearth of car mechanics). These are important amenities that were lacking in Harrogate, TN and Middlesboro, KY.
For national brands, Erie has a Barnes and Noble, several cafes including Starbucks, a Macy's in an actual mall that has stores we're all familiar with in large cities, a Target, a Super Walmart (lol), Home Depot, large restaurant chains like Texas Roadhouse, Longhorn Steakhouse, Olive Garden and several other national chains I can't remember, two large supermarkets: a Giant Eagle (cheap) and a Wegmans 5 minutes away from campus and the residential area that most students stay in (unlike the 15+ minute drive to Kroger/Walmart from the apartments in Harrogate). If you've never been to Wegmans, it looks like a nice Ralph's, Stop and Shop or HEB. It is clean, well-stocked, and has lots of fancy prepared food that's beyond most med students' price range but good in a pinch. Erie feels a lot more populated because it has 100k residents vs 4k in Harrogate. Or if you want to include the larger metro area of Erie vs Middlesboro, KY + Harrogate,TN + Tazewell, TN, the population comparison is respectively 280k vs 15k.
I don't think Erie has a Costco and the nearest IKEA is in Pittsburgh.
You can also drive from Erie to Pittsburgh and see relatively few cars, but not 0. I've only driven on each road
once so that could be an invalid comparison due to time of day. So LECOM and LMU are equal on that front.
Is Erie itself pretty? No. But you can go to the lake and sit in the forest there, go cycling on the island or water-skiing in the summer. Harrogate on the other hand is very picturesque and quiet, but there isn't any water. The only outdoor activity worth doing there is hiking. Erie gets snowmageddon so you have to change your tires every year and Harrogate gets epic thunderstorms which are great to study in (although I heard the the power goes out when the best storms hit).
I clearly have a preference when comparing these two schools, and it isn't strictly related to the lifestyle I'll have in the first 2 years of school. I would argue that this is not the most important thing when choosing a medical school but if you aren't used to a rural way of life it can add unnecessary stress.
I think LECOM>LMU because of cost; the fact you can easily get your rotations in one hospital for 13 straight rotations (and all of them are in areas with more than 20 000 people); it is more established (founded in 1992 vs 2007) so you won't have a bunch of curriculum or staff changes that plague newer schools; and the proximity to 3 major cities (1.5 hrs from Cleveland and Buffalo, 2 hours from Pittsburgh) vs 1 (Knoxville).