| City | Rank | 2026 Pop. ↓ | 2020 Pop. | Annual Change | Density (/mi²) | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Wilson | 1 | 49,674 | 49,001 | 0.21% | 1,564 | 32 | City |
| Elm City | 2 | 1,253 | 1,232 | 0.24% | 583 | 2 | Town |
| Lucama | 3 | 1,057 | 1,027 | 0.48% | 1,738 | 1 | Town |
| Stantonsburg | 4 | 781 | 764 | 0.39% | 1,248 | 1 | Town |
| Black Creek | 5 | 711 | 693 | 0.42% | 1,004 | 1 | Town |
| Saratoga | 6 | 364 | 356 | 0.28% | 576 | 1 | Town |
| Sims | 7 | 347 | 340 | 0.29% | 1,577 | 0 | Town |
Wilson is the largest city in Wilson County, with a population of 49,674.
Sims is the smallest city in Wilson County, with a population of 347.
There are 7 cities in Wilson County, North Carolina.