| Year | Won | Margin | Democratic | Republican | Total |
|---|---|---|---|---|---|
| 2024 | R | 120 | 706 | 836 | |
| 2020 | R | 117 | 747 | 873 | |
| 2016 | R | 105 | 704 | 831 | |
| 2012 | R | 153 | 616 | 787 | |
| 2008 | R | 243 | 591 | 854 | |
| 2004 | R | 239 | 708 | 959 | |
| 2000 | D | 739 | 147 | 917 | |
| 1996 | R | 202 | 623 | 970 | |
| 1992 | R | 222 | 574 | 1,053 | |
| 1988 | R | 334 | 909 | 1,252 | |
| 1984 | R | 214 | 1,035 | 1,255 | |
| 1980 | R | 182 | 1,271 | 1,498 | |
| 1976 | R | 489 | 897 | 1,391 | |
| 1972 | R | 361 | 1,169 | 1,537 | |
| 1968 | R | 245 | 1,216 | 1,534 | |
| 1964 | R | 411 | 1,162 | 1,573 | |
| 1960 | R | 362 | 1,330 | 1,692 | |
| 1956 | R | 289 | 1,268 | 1,557 | |
| 1952 | R | 168 | 1,536 | 1,704 | |
| 1948 | R | 410 | 1,518 | 1,945 | |
| 1944 | R | 208 | 1,047 | 1,255 | |
| 1940 | R | 416 | 1,733 | 2,149 | |
| 1936 | R | 736 | 1,236 | 2,027 | |
| 1932 | D | 1,116 | 770 | 1,904 | |
| 1928 | R | 588 | 1,346 | 1,947 | |
| 1924 | R | 46 | 641 | 1,175 | |
| 1920 | R | 67 | 1,128 | 1,583 | |
| 1916 | D | 644 | 163 | 832 | |
| 1912 | D | 150 | 0 | 766 | |
| 1908 | R | 175 | 627 | 834 | |
| 1904 | R | 120 | 685 | 825 | |
| 1900 | R | 250 | 626 | 889 | |
| 1896 | R | 369 | 449 | 822 | |
| 1892 | R | 77 | 390 | 671 | |
| 1888 | — | — | — | — | |
| 1884 | — | — | — | — | |
| 1880 | — | — | — | — | |
| 1876 | — | — | — | — |
Campbell County's 2024 presidential margin of R+70.1 ranks it among the most one-sided jurisdictions in the country, a reflection of the deeply rural, agriculture-dependent character that defines this sparsely populated corner of north-central South Dakota.
The unraveling was not abrupt. The Democratic margin in Campbell County peaked at sixty-five points in 2000; it narrowed steadily over the late twentieth century. The 2004 election delivered the county to the Republican party for the first time in many years, by a margin of forty-nine points. By 2024, the margin had widened further.
The economic and demographic context is severe. Campbell County's median household income of $68,929 is among the lowest of any county in the United States; 8% of residents live below the federal poverty line. The county's voting pattern over the last decade is most similar to that of Yadkin County and Harding County.
