2 cities
| City | Rank | 2026 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Middlesborough | 1 | 8,675 | 9,346 | -1.27% | 1,175 | 7 | City |
| Pineville | 2 | 1,520 | 1,658 | -1.49% | 451 | 3 | City |
Middlesborough is the largest city in Bell County, with a population of 8,675.
Pineville is the smallest city in Bell County, with a population of 1,520.
There are 2 cities in Bell County, Kentucky.