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.
Pikeville, KY, Kentucky
Akashic
Pikeville, KYTrumpR+62.9
18922024
How it voted
Share of the 2024 vote
Donald Trump ✓Republican
80.8%
32,010
Kamala HarrisDemocratic
17.9%
7,086
Robert F. Kennedy Jr.Independent
1.3%
506
D+60R+60
2 counties, each filled by 2024 D-vs-R margin. Hover any county for its result.
County-level results (2 counties) — table
2024 presidential result by county for Pikeville, KY, KY — winner and D-vs-R margin.
County
Winner
Margin
Floyd County, KY
Republican
R+59.2
Pike County, KY
Republican
R+65.4
Akashic
34 presidential elections
Third column names the leading third-party or independent finisher. Source · MIT Election Lab · ICPSR · VEST (precinct-level 2024).
Pikeville anchors Pike County, one of Kentucky's most reliably one-party-dominant counties despite a historically union-rooted Democratic past — a shift that accelerated sharply after 2008 and has held by double-digit margins ever since.
Across the recorded series it reached a Democratic high of 46.3 points in 1964 and a Republican high of 62.9 points in 2024. Between 2020 and 2024 the metro moved 6.0 points toward the Republican candidate; the 2024 margin was 62.9 points.
A population of 91,951, a 95% non-Hispanic-white share, and a median household income of $43,150 describe the metro. The metro's voting pattern over the last decade is most similar to that of Cookeville, TN and Winchester, TN.
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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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Pikeville, KY, Kentucky. Akashic. https://akashic.app/cbsa/38210/. Accessed May 20, 2026. License: CC BY 4.0.
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In 2024, Pikeville, KY, Kentucky voted Republican by 62.9 points (R+62.9), carried by the Republican candidate. Out of 39,602 votes cast, 7,086 went Democratic and 32,010 went Republican.
When did Pikeville, KY, Kentucky last vote Democratic?
The most recent presidential election in which Pikeville, KY, Kentucky voted Democratic was 2004.
How many people live in Pikeville, KY, Kentucky?
Pikeville, KY, Kentucky has a population of 91,951 according to the 2024 American Community Survey 5-year estimates from the US Census Bureau.
What is the median household income in Pikeville, KY, Kentucky?
Median household income in Pikeville, KY, Kentucky is $43,150 — below the national median of $80,734. The Kentucky state median is $63,726.
What is the political history of Pikeville, KY, Kentucky?
Akashic tracks 34 presidential elections in Pikeville, KY, Kentucky from 1892 to 2024. Of those, 22 went Democratic and 12 went Republican.