Huatusco is a small quiet town during the week. Important geographical features in the vicinity include Cerro de ecatepec, Cerro de Elotepec, and the Sierra Madre Oriental; the highest mountain in Mexico, Pico de Orizaba is also visible from the town. Huatusco is sometimes called the city of pianos (La Ciudad de los Pianos), because having a piano and playing it used to be common within the city.