7 cities
| City | Rank | 2026 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Wilson | 1 | 48,638 | 48,461 | 0.06% | 1,532 | 32 | City |
| Elm City | 2 | 1,226 | 1,217 | 0.16% | 570 | 2 | Town |
| Lucama | 3 | 1,070 | 1,040 | 0.47% | 1,760 | 1 | Town |
| Stantonsburg | 4 | 768 | 759 | 0.26% | 1,227 | 1 | Town |
| Black Creek | 5 | 702 | 690 | 0.29% | 992 | 1 | Town |
| Saratoga | 6 | 353 | 350 | 0.28% | 559 | 1 | Town |
| Sims | 7 | 347 | 341 | 0.29% | 1,577 | 0 | Town |
Wilson is the largest city in Wilson County, with a population of 48,638.
Sims is the smallest city in Wilson County, with a population of 347.
There are 7 cities in Wilson County, North Carolina.