| Year | Won | Margin | Democratic | Republican | Total |
|---|---|---|---|---|---|
| 2024 | R | 4,045 | 9,026 | 13,179 | |
| 2020 | R | 4,327 | 8,411 | 12,849 | |
| 2016 | R | 4,150 | 7,130 | 11,540 | |
| 2012 | R | 4,706 | 6,404 | 11,231 | |
| 2008 | R | 4,926 | 6,155 | 11,210 | |
| 2004 | R | 4,313 | 5,745 | 10,080 | |
| 2000 | D | 4,946 | 3,979 | 8,974 | |
| 1996 | D | 3,856 | 3,379 | 7,838 | |
| 1992 | D | 4,422 | 3,543 | 9,161 | |
| 1988 | R | 3,995 | 4,504 | 8,530 | |
| 1984 | R | 3,831 | 5,109 | 8,952 | |
| 1980 | D | 4,129 | 3,587 | 7,842 | |
| 1976 | D | 4,308 | 2,872 | 7,211 | |
| 1972 | R | 2,175 | 4,417 | 6,726 | |
| 1968 | R | 2,410 | 3,070 | 7,739 | |
| 1964 | D | 3,933 | 3,385 | 7,318 | |
| 1960 | R | 3,297 | 3,649 | 6,946 | |
| 1956 | R | 3,088 | 3,359 | 6,447 | |
| 1952 | R | 3,176 | 3,181 | 6,357 | |
| 1948 | D | 2,165 | 1,975 | 4,558 | |
| 1944 | D | 2,665 | 1,963 | 4,628 | |
| 1940 | D | 3,007 | 1,789 | 4,796 | |
| 1936 | D | 3,484 | 2,506 | 5,990 | |
| 1932 | D | 2,927 | 2,153 | 5,098 | |
| 1928 | R | 2,016 | 2,653 | 4,669 | |
| 1924 | D | 2,483 | 2,077 | 4,565 | |
| 1920 | D | 2,321 | 2,304 | 4,625 | |
| 1916 | D | 1,222 | 1,196 | 2,418 | |
| 1912 | D | 1,012 | 144 | 2,002 | |
| 1908 | R | 1,008 | 1,087 | 2,097 | |
| 1904 | D | 937 | 858 | 1,795 | |
| 1900 | D | 1,100 | 920 | 2,021 | |
| 1896 | R | 1,129 | 1,206 | 2,337 | |
| 1892 | D | 1,011 | 839 | 2,076 | |
| 1888 | — | — | — | — | |
| 1884 | — | — | — | — | |
| 1880 | — | — | — | — | |
| 1876 | — | — | — | — |
Montgomery County's 2024 presidential margin of R+37.8 reflects a broader rural Piedmont shift, with a sparse population of under 27,000 spread across a timber-and-textile economy that has trended sharply toward Republican candidates over the past two decades.
The Democratic margin in Montgomery County peaked at forty-three points in 1912. By 2004 the county had flipped, voting Republican for the first time in many years. The 2024 margin was thirty-eight points, the most Republican-leaning result in the county's modern history.
The economic context is the key. Montgomery County's median household income of $57,766 sits well below state and national norms, and 15% 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 Perquimans County and Sampson County.