When you think of altitude and cooking issues, you most likely think of problems connected with cooking at high, rather than low, altitudes. Around 33 percent of Americans live at high altitudes, which is anything over 3,000 feet. If you use recipes especially designed for high altitudes when cooking below 3,000 feet, you will need to make adjustments. The lowest land point in the United States, Death Valley in California, is 282 feet below sea level. Cooking below sea level will also require some timing adjustments.