| City | Rank | 2026 Pop. ↓ | 2020 Pop. | Annual Change | Density (/mi²) | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Spruce Pine | 1 | 2,219 | 2,188 | 0.36% | 547 | 4 | Town |
| Bakersville | 2 | 470 | 462 | 0.43% | 618 | 1 | Town |
Spruce Pine is the largest city in Mitchell County, with a population of 2,219.
Bakersville is the smallest city in Mitchell County, with a population of 470.
There are 2 cities in Mitchell County, North Carolina.