10 cities
| City | Rank | 2025 Pop. ↓ | 2020 Pop. | Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Pikeville | 1 | 7,243 | 7,728 | -1.32% | 349 | 20.76 | City |
| Coal Run Village | 2 | 1,559 | 1,661 | -1.27% | 178 | 8.75 | City |
| Elkhorn City | 3 | 947 | 1,032 | -1.76% | 121 | 7.83 | City |
| Virgie | 4 | 583 | 342 | 3.74% | 569 | 1.02 | CDP |
| Forest Hills | 5 | 431 | 438 | -0.23% | 1,491 | 0.29 | City |
| Phelps | 6 | 334 | 448 | -10.22% | 42 | 7.99 | CDP |
| South Williamson | 7 | 308 | 516 | -6.1% | 156 | 1.97 | CDP |
| Belfry | 8 | 291 | 261 | 6.99% | 404 | 0.72 | CDP |
| McCarr | 9 | 260 | 220 | 2.36% | 1,061 | 0.24 | CDP |
| Freeburn | 10 | 39 | 265 | -38.1% | 32 | 1.21 | CDP |
Pikeville is the largest city in Pike County, with a population of 7,243.
Freeburn is the smallest city in Pike County.
There are 10 cities in Pike County, Kentucky.