American Community Survey 2024 5-year (income, age, poverty, education, language, race, ancestry) · presidential returns from MIT Election Lab through 2024 · 2020 U.S. Religion Census (ASARB) — congregational adherents, unaffiliated is the unclaimed remainder.
Middlesborough, KY, Kentucky
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Middlesborough, KYTrumpR+68.7
18922024
How it voted
Share of the 2024 vote
Donald Trump ✓Republican
83.8%
7,831
Kamala HarrisDemocratic
15.2%
1,419
Robert F. Kennedy Jr.Independent
1.0%
90
D+60R+60
A single county, filled by its 2024 D-vs-R margin. Hover it for the full result.
County-level results (1 county) — table
2024 presidential result by county for Middlesborough, KY, KY — winner and D-vs-R margin.
County
Winner
Margin
Bell County, KY
Republican
R+68.7
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34 presidential elections
Third column names the leading third-party or independent finisher. Source · MIT Election Lab · ICPSR · VEST (precinct-level 2024).
Middlesborough sits at the Cumberland Gap, a historically isolated mountain community where economic decline in coal has reshaped voting patterns over two decades, producing some of Kentucky's sharpest swings in turnout and party registration.
Across the recorded series it reached a Democratic high of 24.9 points in 1964 and a Republican high of 68.7 points in 2024. Between 2020 and 2024 the metro moved 5.4 points toward the Republican candidate; the 2024 margin was 68.7 points.
A population of 23,509, a 93% non-Hispanic-white share, and a median household income of $31,354 describe the metro. The metro's voting pattern over the last decade is most similar to that of Gadsden, AL and McAlester, OK.
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Political twins — metros
The metros whose fingerprint — 2000–2024 trajectory, demographics, ancestry, religion — sits closest to this one, and why.
Twin score (0–100) = weighted cosine between tier-standardized fingerprints: presidential margins 2000–2024 with 12-yr trend and elasticity, ACS income, age, education, population and race, top reported ancestries, and religious adherence — chips name the closest-shared dimensions and the widest gap. Re-weight the groups in the twins explorer.
Compare two places, side by side
Twelve curated comparisons line up election history, demographics, and the divergence story for two places at a glance. Browse all comparisons →
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Middlesborough, KY, Kentucky. Akashic. https://akashic.app/cbsa/33180/. Accessed May 20, 2026. License: CC BY 4.0.
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How did Middlesborough, KY, Kentucky vote in 2024?
In 2024, Middlesborough, KY, Kentucky voted Republican by 68.7 points (R+68.7), carried by the Republican candidate. Out of 9,340 votes cast, 1,419 went Democratic and 7,831 went Republican.
When did Middlesborough, KY, Kentucky last vote Democratic?
The most recent presidential election in which Middlesborough, KY, Kentucky voted Democratic was 1996.
How many people live in Middlesborough, KY, Kentucky?
Middlesborough, KY, Kentucky has a population of 23,509 according to the 2024 American Community Survey 5-year estimates from the US Census Bureau.
What is the median household income in Middlesborough, KY, Kentucky?
Median household income in Middlesborough, KY, Kentucky is $31,354 — below the national median of $80,734. The Kentucky state median is $63,726.
What is the political history of Middlesborough, KY, Kentucky?
Akashic tracks 34 presidential elections in Middlesborough, KY, Kentucky from 1892 to 2024. Of those, 9 went Democratic and 24 went Republican.