39 cities
| City | Rank | 2026 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Miller | 1 | 1,288 | 1,344 | -0.69% | 1,301 | 1 | City |
| Miller | 2 | 211 | 195 | 1.44% | 6 | 35 | Township |
| Miller | 3 | 193 | 193 | 0% | 5 | 36 | Township |
| St. Lawrence | 4 | 159 | 165 | -0.63% | 464 | 0 | Town |
| Rockdale | 5 | 141 | 143 | -0.7% | 4 | 36 | Township |
| Hulbert | 6 | 61 | 56 | 3.39% | 2 | 36 | Township |
| Alpha | 7 | 58 | 53 | 3.57% | 2 | 36 | Township |
| Ohio | 8 | 56 | 58 | -1.75% | 2 | 36 | Township |
| Ree Heights | 9 | 55 | 55 | 0% | 186 | 0 | Town |
| Orient | 10 | 51 | 51 | 0% | 173 | 0 | Town |
| Burdette | 11 | 50 | 45 | 4.17% | 1 | 36 | Township |
| Como | 12 | 50 | 45 | 4.17% | 1 | 34 | Township |
| St. Lawrence | 13 | 50 | 48 | 2.04% | 1 | 37 | Township |
| Grand | 14 | 47 | 46 | 0% | 1 | 37 | Township |
| Plato | 15 | 47 | 48 | 0% | 1 | 36 | Township |
| Bates | 16 | 42 | 43 | 0% | 1 | 36 | Township |
| Linn | 17 | 37 | 32 | 5.71% | 1 | 36 | Township |
| Orient | 18 | 36 | 35 | 0% | 1 | 35 | Township |
| Hiland | 19 | 33 | 34 | 0% | 1 | 36 | Township |
| Rose Hill | 20 | 33 | 32 | 0% | 1 | 36 | Township |
| Gilbert | 21 | 32 | 31 | 0% | 1 | 36 | Township |
| Holden | 22 | 32 | 29 | 3.23% | 1 | 36 | Township |
| Cedar | 23 | 31 | 32 | 0% | 1 | 34 | Township |
| Pleasant Valley | 24 | 31 | 32 | 0% | 1 | 36 | Township |
| Spring Hill | 25 | 30 | 31 | 0% | 1 | 34 | Township |
| Logan | 26 | 27 | 30 | -3.57% | 1 | 36 | Township |
| Wheaton | 27 | 27 | 30 | -3.57% | 1 | 36 | Township |
| Ontario | 28 | 21 | 24 | -4.55% | 1 | 36 | Township |
| Spring Lake | 29 | 21 | 24 | -4.55% | 1 | 35 | Township |
| Alden | 30 | 19 | 19 | 0% | 1 | 36 | Township |
| Greenleaf | 31 | 19 | 22 | -5% | 1 | 36 | Township |
| Mondamin | 32 | 19 | 19 | 0% | 1 | 36 | Township |
| Park | 33 | 19 | 19 | 0% | 1 | 36 | Township |
| Riverside | 34 | 19 | 22 | -5% | 1 | 36 | Township |
| Campbell | 35 | 17 | 17 | 0% | 0.00 | 36 | Township |
| Carlton | 36 | 17 | 20 | -5.56% | 0.00 | 36 | Township |
| York | 37 | 17 | 17 | 0% | 0.00 | 36 | Township |
| Glendale | 38 | 14 | 14 | 0% | 0.00 | 36 | Township |
| Pearl | 39 | 9 | 9 | 0% | 0.00 | 35 | Township |
Miller is the largest city in Hand County, with a population of 1,288.
Pearl is the smallest city in Hand County, with a population of 9.
There are 39 cities in Hand County, South Dakota.