Phitsanulok seems to get most of its visitors by virtue of its location-- it is a long train journey from both Bangkok and Chiang Mai but each journey is do-able in a day. Phi-lok is the natural stopping point. There are a few nice Wats here, such as Wat Phra Si and the Wat Chulamani ruins, but most of the entertainment revolves around eating. There are some decent floating restaurants down on the river, and if there are enough diners a few of them will take out a boat for a dinner cruise. On the way to the bunch of river restaurants there is a rather cheesy food market that is best missed.
Another reason for visiting here is that it is on the land route to Sukhothai and the not-to-be-missed Sukhothai Historic Park. My advice is to hop on the bus right from the train and spend the night in Sukhothai. Sukhothai is not much better as a place to stay, but at least you won't have a long journey first thing in the morning to get to the park.
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