Move back to my home country where my friends and family are. I only really like the lifestyle of the downtown core of a single city there. I'd give up permanent residency to the U.S. Pay cut would be to 1/3rd my current salary with a similar cost of living - probably never afford to buy a home. But I'd be closer to people I care about. And maybe live a life of not striving for more.
Or stay in the US where I currently am. I'm quite lonely, but enjoy a very comfortable lifestyle and US cities are beautiful and culturally interesting to me. I'm well compensated in my field, and not even near the ceiling. Could retire 15 years earlier here than otherwise. But always feel like I chose to be away from the people I love.