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This paper serves to explore the multifaceted complexities of food insecurity in the Appalachian region. This paper will delve into the current converse impacts food insecurity has in the areas of environment, health, government, socio-cultural practices, spatial built environments, non-profit organizations, and economics. This paper also features a review of the complex system of Appalachian food insecurity and an understanding of how community wealth building as an economic framework can influence and intervene in the current system’s leverage points. Through a comprehensive analysis of the available literature and a recommendation of influenceable leverage points this paper seeks to synthesize and inform a target audience of stakeholders such as policymakers, educators, non-profit organizers, and community members to remedy the issue of Appalachian food insecurity and recognize this problem not a uniform, isolates issue but as a broader system of disparities impacted by existing economic models and community practices.