It is a common belief that computing a market equilibrium in Fisher's spending model is easier than computing a market equilibrium in Arrow-Debreu's exchange model. This belief is built on the fact that we have more algorithmic success in Fisher equilibria than Arrow-Debreu equilibria. For example, a Fisher equilibrium in a Leontief market can be found in polynomial time, while it is PPAD-hard to compute an approximate Arrow-Debreu equilibrium in a Leontief market. In this paper, we show that even when all the utility functions are additively separable, piecewise-linear, and concave, finding an approximate equilibrium in Fisher's model is PPAD-hard. Our result solves a long-term open question on the complexity of market equilibria. To the best of our knowledge, this is the first PPAD-hardness result for Fisher's model.