| Year | Won | Margin | Democratic | Republican | Total |
|---|---|---|---|---|---|
| 2024 | R | 12,431 | 19,632 | 32,881 | |
| 2020 | R | 12,560 | 18,571 | 31,691 | |
| 2016 | R | 9,753 | 17,210 | 27,947 | |
| 2012 | R | 11,014 | 15,951 | 27,420 | |
| 2008 | R | 11,374 | 15,607 | 27,346 | |
| 2004 | R | 9,648 | 15,349 | 25,229 | |
| 2000 | R | 9,389 | 10,742 | 20,753 | |
| 1996 | R | 7,587 | 7,621 | 16,931 | |
| 1992 | R | 6,040 | 7,237 | 16,559 | |
| 1988 | R | 4,787 | 8,430 | 13,262 | |
| 1984 | R | 3,770 | 8,208 | 12,014 | |
| 1980 | R | 4,195 | 5,362 | 10,236 | |
| 1976 | R | 4,076 | 4,647 | 8,723 | |
| 1972 | R | 1,792 | 5,584 | 7,424 | |
| 1968 | R | 2,046 | 3,541 | 7,458 | |
| 1964 | D | 3,713 | 2,973 | 6,686 | |
| 1960 | R | 3,347 | 3,976 | 7,323 | |
| 1956 | R | 2,570 | 4,465 | 7,035 | |
| 1952 | R | 2,708 | 4,681 | 7,415 | |
| 1948 | R | 2,281 | 2,673 | 4,993 | |
| 1944 | R | 2,613 | 3,018 | 5,631 | |
| 1940 | D | 3,388 | 3,135 | 6,606 | |
| 1936 | D | 3,567 | 3,106 | 6,698 | |
| 1932 | D | 3,593 | 2,178 | 5,802 | |
| 1928 | R | 2,116 | 4,005 | 6,134 | |
| 1924 | D | 5,964 | 3,744 | 9,778 | |
| 1920 | D | 3,676 | 3,090 | 6,847 | |
| 1916 | D | 2,138 | 1,520 | 3,827 | |
| 1912 | D | 3,618 | 757 | 3,247 | |
| 1908 | D | 3,608 | 1,974 | 115 | |
| 1904 | D | 4,690 | 1,450 | 158 | |
| 1900 | D | 2,449 | 1,991 | 3 | |
| 1896 | D | 1,961 | 1,756 | 4,123 | |
| 1892 | D | 1,826 | 1,247 | 3,584 | |
| 1888 | — | — | — | — | |
| 1884 | — | — | — | — | |
| 1880 | — | — | — | — | |
| 1876 | — | — | — | — |
Worcester County anchors Maryland's Atlantic coast, home to Ocean City's tourism economy. Despite sitting in a heavily Democratic state, it has delivered Republican presidential margins exceeding 20 points in recent cycles.
The Democratic margin in Worcester County peaked at 100 points in 1900. By 1968 the county had flipped, voting Republican for the first time in many years. The 2024 margin was twenty-two points, the most Republican-leaning result in the county's modern history.
The economic context is the key. Worcester County's median household income of $81,745 sits well below state and national norms, and 10% of residents live below the federal poverty line. The shift here is part of a broader realignment of working-class places across the country. The county's voting pattern over the last decade is most similar to that of Toombs County and Horry County.