HarrisDemocratic17.9%7,086TrumpRepublican80.8%32,010OtherAll other candidates1.3%506
R+62.9- Lead
- 24,924
- Total
- 39,602
- vs nation
- R+61.5
Akashicmetro area
Pikeville, KY
Office (updates table and map)
President margin by year
Place winner margin
2 counties by 2024 margin · County returns · MIT Election Lab
President results by year
Vote totals, margins, and source status
BidenDemocratic21.0%8,750TrumpRepublican77.9%32,534OtherAll other candidates1.1%464
R+57.0- Lead
- 23,784
- Total
- 41,748
- vs nation
- R+61.4
ClintonDemocratic20.1%8,295TrumpRepublican77.0%31,740OtherAll other candidates2.8%1,170
R+56.9- Lead
- 23,445
- Total
- 41,205
- vs nation
- R+59.0
ObamaDemocratic26.9%10,379RomneyRepublican71.1%27,374OtherAll other candidates2.0%773
R+44.1- Lead
- 16,995
- Total
- 38,526
- vs nation
- R+48.0
ObamaDemocratic44.5%17,055McCainRepublican53.3%20,396OtherAll other candidates2.2%851
R+8.7- Lead
- 3,341
- Total
- 38,302
- vs nation
- R+16.0
KerryDemocratic56.3%25,134BushRepublican43.0%19,223OtherAll other candidates0.7%298
D+13.2- Lead
- 5,911
- Total
- 44,655
- vs nation
- D+15.7
GoreDemocratic58.8%23,699BushRepublican39.9%16,073OtherAll other candidates1.4%557
D+18.9- Lead
- 7,626
- Total
- 40,329
- vs nation
- D+18.4
ClintonDemocratic62.8%23,781DoleRepublican27.2%10,299OtherAll other candidates10.0%3,799
D+35.6- Lead
- 13,482
- Total
- 37,879
- vs nation
- D+27.1
Key facts
- 2024 presidential margin
- R+62.9MIT Election Lab
- Population
- 91,9512024 5-year
- Population density
- 78 / sq mi2024 5-year · TIGER/Line
- Land area
- 1,180 sq miTIGER/Line
- Median household income
- $43,1502024 5-year
- White (non-Hispanic)
- 94.5%2024 5-year
- Black
- 0.6%2024 5-year
- Hispanic / Latino
- 1.1%2024 5-year
- Peak Democratic margin
- D+46.3 in 1964MIT Election Lab
- Peak Republican margin
- R+62.9 in 2024MIT Election Lab
- Most similar
- Cookeville, TN · twin score 90.9
presidential history
Party record book
Pikeville, KY · the strongest Democratic and Republican presidential performances recorded here, measured three ways.
1892–2024 · 34 presidential cycles
Highest vote share
Largest share of the presidential candidate vote cast here.
Democratic
Lyndon B. Johnson1964
73.1%
25,784 votes · D+46.3
Runner-up · Jimmy Carter, 1976 · 66.1%
Republican
Donald Trump2024
80.8%
32,010 votes · R+62.9
Runner-up · Donald Trump, 2020 · 77.9%
Most votes
Largest number of votes cast for the party’s presidential nominee here.
Democratic
Bill Clinton1992
30,709votes
65.7% of the vote · D+40.5
Runner-up · Michael Dukakis, 1988 · 28,666 votes
Republican
Donald Trump2020
32,534votes
77.9% of the vote · R+57.0
Runner-up · Donald Trump, 2024 · 32,010 votes
Best relative to the U.S.
This Place’s margin against the national margin in the same election — positive when it leaned toward the party more than the country did.
Democratic
Walter Mondale1984
+39.0pts D vs U.S.
Place D+20.7 · U.S. R+18.2
Runner-up · Michael Dukakis, 1988 · +38.0 pts
Republican
Donald Trump2024
+61.5pts R vs U.S.
Place R+62.9 · U.S. R+1.5
Runner-up · Donald Trump, 2020 · +61.4 pts
U.S. House elections · 3 House
Senate and governor results are in the Office selector at the top of this page.
U.S. House
Each row shows U.S. House votes counted inside this Place. “Vote lead” is the local lead here, not necessarily the winner of the full contest.
voter registration
Registered voters
By party of registration, over time
Party registration · 2024D+19.5
Presidential vote · 2024R+62.9
Pikeville, KY registers Democratic but votes Republican — a 82-point gap between how voters register and how they vote, the signature of ancestral registration that trails realignment.
73,210 registered voters · 2024
domestic migration
Who moves in and out
Net domestic migration over time
−225 net domestic migration · 2025
20112025
Net −11,698 over 2011–2025 · gain loss
| Year | Net domestic migration |
|---|---|
| 2011 | −255 |
| 2012 | −935 |
| 2013 | −1,366 |
| 2014 | −1,332 |
| 2015 | −1,490 |
| 2016 | −1,692 |
| 2017 | −1,991 |
| 2018 | −519 |
| 2019 | −590 |
| 2021 | −750 |
| 2022 | +5 |
| 2023 | −186 |
| 2024 | −372 |
| 2025 | −225 |
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.
Political twins — metros
The metros whose fingerprint — 2000–2024 trajectory, demographics, ancestry, religion — sits closest to this one, and why.
Cookeville, TN
90.9twin score
elasticity2000–2024 trajectory≠ 2004 margin
Winchester, TN
86.4twin score
elasticity2000–2024 trajectory≠ median income
Bluefield, WV-VA
85.4twin score
elasticity2016–2024 trajectory≠ 2000 margin
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 →
Cite this page
All citations released under CC BY 4.0. Attribution: Akashic Intelligence.
Pikeville, KY, Kentucky. Akashic. https://akashic.app/cbsa/38210/. Accessed May 20, 2026. License: CC BY 4.0.
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Places within Pikeville, KY
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Frequently asked questions
How did Pikeville, KY, Kentucky vote in 2024?
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.