I just moved into the Worcester area and the two things I haven't found yet are a good butcher and a nice gourmet market.
As far as the butcher goes, I'm looking for someone that doesn't mind a custom cut or a special order. The gorcery stores don't cut it IMHO, especially when special requests are met with blank stares by the pimply 16 year olds behind the counter...
And for the market, I'm looking for someplace that is as likely to have a good Balsamic vinegar as it is artisan cheeses or maybe even pates.
The closest I've found is the Whole Foods Market stores in Framingham and Bellingham. Both are ok, but not places where I feel the clerk(s) will recognize a regular customer.