Utrecht

Utrecht is the strongest startup city for health tech, gaming, and sustainability in the Netherlands outside the Big Four. Over 45% of its 2,100+ startups focus on health or sustainability, driving a 20% annual growth rate. This city outperforms #6 Delft in sector diversity, with 30% more active health-tech ventures than the average Dutch startup hub. Its 85% startup survival rate after three years is 15% higher than the national average, thanks to incubators like UtrechtInc.