| City | Rank | 2026 Pop. ↓ | 2020 Pop. | Annual Change | Density (/mi²) | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Middlesborough | 1 | 8,659 | 9,338 | -1.33% | 1,173 | 7 | City |
| Pineville | 2 | 1,529 | 1,659 | -1.48% | 453 | 3 | City |
Middlesborough is the largest city in Bell County, with a population of 8,659.
Pineville is the smallest city in Bell County, with a population of 1,529.
There are 2 cities in Bell County, Kentucky.