Go to South Korea or Japan and you'll find rural villages that are more densely packed than cities of 100,000+ in USA and Canada. This density allows for shops and convenience stores to be easily accessible and walkable in every neighbourhood, which nudges towards social interaction. Rather than sprawling everywhere, neighbourhoods are built with the same density as elsewhere (with small apartments, large apartment towers, and/or multifamily housing).
On the other end, megacities like Seoul and Tokyo are really just cities of many neighbourhoods with similar density to the rural towns, with a few areas that are more densely built and populated than others (typically centered around geographical or transportation features). Most neighbourhoods in Seoul or Tokyo feel the exact same as any neighbourhoods in "second tier" cities. (In fact, many "suburbs" of Seoul are more densely packed than Seoul itself due to legacy building heights!) But the smaller towns just don't have subway access to megacity-only amenities.
I suspect that a lot of folks who enjoy North American big city living would do just as well in a smaller East Asian town (aside from cultural and language difficulties).