St. Elisabeth Cathedral is the largest Gothic cathedral in Slovakia and the easternmost Gothic cathedral in Central Europe — a distinction that tends to surprise visitors who expect the elaborate Gothic tradition to have thinned out long before reaching the Slovak-Hungarian borderland. Construction began around 1378 and continued for over a century, and the result is a cathedral of genuine grandeur: a five-nave structure with a richly decorated exterior, twin towers (one complete, one truncated), and a refined late Gothic interior.
The exterior is the main show: the carved stone portals, the decorated tympana, and the ornate chapels added to the nave walls give the cathedral a richly layered surface unlike most Slovak churches. The north tower has an observation gallery accessible to visitors for a good view over Hlavná ulica and the rooftops of the old town. Inside, the main altar of St. Elisabeth dates from the 15th century, with panels showing scenes from the saint's life. The cathedral is a functioning church and can be visited during opening hours; a small entry fee applies to the museum sections and the tower.