| Year | Won | Margin | Democratic | Republican | Total |
|---|---|---|---|---|---|
| 2024 | R | 191 | 1,123 | 1,338 | |
| 2020 | R | 195 | 1,140 | 1,361 | |
| 2016 | R | 160 | 1,048 | 1,259 | |
| 2012 | R | 281 | 1,049 | 1,369 | |
| 2008 | R | 363 | 1,042 | 1,434 | |
| 2004 | R | 369 | 1,119 | 1,515 | |
| 2000 | R | 402 | 1,080 | 1,550 | |
| 1996 | R | 488 | 933 | 1,643 | |
| 1992 | R | 485 | 748 | 1,742 | |
| 1988 | R | 608 | 1,075 | 1,706 | |
| 1984 | R | 452 | 1,301 | 1,785 | |
| 1980 | R | 482 | 1,280 | 1,837 | |
| 1976 | R | 865 | 1,087 | 1,982 | |
| 1972 | R | 428 | 1,522 | 2,002 | |
| 1968 | R | 503 | 1,327 | 2,053 | |
| 1964 | R | 994 | 1,267 | 2,273 | |
| 1960 | R | 823 | 1,830 | 2,673 | |
| 1956 | R | 812 | 1,909 | 2,731 | |
| 1952 | R | 717 | 2,380 | 3,116 | |
| 1948 | R | 1,087 | 1,962 | 3,075 | |
| 1944 | R | 954 | 2,283 | 3,246 | |
| 1940 | R | 1,478 | 2,774 | 4,283 | |
| 1936 | R | 2,059 | 2,355 | 4,423 | |
| 1932 | D | 2,239 | 1,746 | 4,057 | |
| 1928 | R | 831 | 3,007 | 3,880 | |
| 1924 | R | 1,104 | 2,443 | 3,802 | |
| 1920 | R | 1,110 | 2,253 | 3,452 | |
| 1916 | D | 2,053 | 1,769 | 4,026 | |
| 1912 | D | 971 | 605 | 2,511 | |
| 1908 | R | 1,187 | 1,454 | 2,687 | |
| 1904 | R | 706 | 1,713 | 2,539 | |
| 1900 | R | 1,311 | 1,632 | 2,956 | |
| 1896 | D | 1,464 | 1,339 | 2,815 | |
| 1892 | R | 0 | 1,369 | 2,617 | |
| 1888 | — | — | — | — | |
| 1884 | — | — | — | — | |
| 1880 | — | — | — | — | |
| 1876 | — | — | — | — |
Elk County's 2024 presidential margin of R+69.7 places it among the most skewed rural counties in the state, reflecting a sparsely populated ranching economy where fewer than 3,300 residents cast ballots in a politically homogeneous environment.
The Republican margin in Elk County reached its widest at seventy-one points in 2016. The margin in 2024 was seventy points, in line with the county's deep historical pattern.
Elk County's loyalty is rooted in its place. Median household income of $64,609, a 88% non-Hispanic-white share, and a population of 2,453 together describe a community whose political habits are deeply settled. The county's voting pattern over the last decade is most similar to that of Garrard County and Bedford County.
