This is a very efficient McDonald's. Your order is ready almost as soon as you finish paying for it. So, no waiting at all.
It is filled with North Americans and Europeans.
There is not much difference in the taste of the food as between North American restaurants and Japanese restaurants. The only thing that I found is that the food, especially the fries, is piping hot. I almost burned the roof of my mouth on the fries. This is true of the McD's that I went to in Tokyo, Osaka and Kyoto. I also believe that the sodas/pop are smaller. I always got coffee, and that was the same size as North American McD's.
There are pictures with all the meals, so you just point an order. This is the case with all McDonald's that I went to in Japan.
Tokyo and Osaka (not the airport) have the most expensive McD's. I found the prices to be about $0.50 more than they are in Toronto or Boston. It is cheaper in Kyoto. The Kyoto pricing was the same or even a bit cheaper than Toronto or Boston.
In this terminal, I believe that this is the only Western option after clearing security. There is a matcha/coffee shop, but I think that it only sold baked goods. There is another McDonald's before clearing security. The other options after clearing security are more expensive or are kind of sketchy in the central food court hub. There are only convenience stores and duty free after that central area.
At Narita, I tried the McTerryiaki, which is a pork burger. It was different...not horrible, not amazing, but it was cheaper than the regular burgers and was filling enough.
The problem here is the limited seating. There are only about 10 seats, so you have to grab one while you can. There is enough space for luggage, so it is not hard to wheel in and out of there, or sit with your luggage if you get a seat.
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