2 cities
| City | Rank | 2025 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Middlesborough | 1 | 8,787 | 9,346 | -1.26% | 1,190 | 7 | City |
| Pineville | 2 | 1,543 | 1,658 | -1.47% | 457 | 3 | City |
Middlesborough is the largest city in Bell County, with a population of 8,787.
Pineville is the smallest city in Bell County, with a population of 1,543.
There are 2 cities in Bell County, Kentucky.