39 cities
| City | Rank | 2025 Pop. ↓ | 2020 Pop. | Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Miller | 1 | 1,312 | 1,347 | -0.53% | 1,325 | 0.99 | City |
| Miller township | 2 | 198 | 187 | 1.02% | 6 | 35.02 | Township |
| Miller township | 3 | 188 | 188 | 0% | 5 | 35.86 | Township |
| St. Lawrence | 4 | 161 | 165 | -0.62% | 469 | 0.34 | Town |
| Rockdale township | 5 | 145 | 144 | 0% | 4 | 36.03 | Township |
| Ohio township | 6 | 61 | 60 | 0% | 2 | 36.03 | Township |
| Ree Heights | 7 | 56 | 56 | 0% | 189 | 0.30 | Town |
| Alpha township | 8 | 54 | 55 | 0% | 2 | 35.99 | Township |
| Orient | 9 | 52 | 51 | 0% | 177 | 0.29 | Town |
| Hulbert township | 10 | 51 | 52 | 0% | 1 | 36.27 | Township |
| Plato township | 11 | 47 | 48 | 0% | 1 | 35.93 | Township |
| St. Lawrence township | 12 | 47 | 48 | 0% | 1 | 36.65 | Township |
| Grand township | 13 | 45 | 46 | 0% | 1 | 37.34 | Township |
| Orient township | 14 | 44 | 36 | 7.32% | 1 | 35.50 | Township |
| Como township | 15 | 43 | 42 | 0% | 1 | 34.24 | Township |
| Burdette township | 16 | 42 | 43 | 0% | 1 | 35.63 | Township |
| Bates township | 17 | 40 | 41 | 0% | 1 | 36.15 | Township |
| Hiland township | 18 | 37 | 38 | 0% | 1 | 35.66 | Township |
| Gilbert township | 19 | 32 | 33 | 0% | 1 | 35.81 | Township |
| Pleasant Valley township | 20 | 32 | 33 | 0% | 1 | 35.58 | Township |
| Cedar township | 21 | 30 | 30 | 0% | 1 | 34.17 | Township |
| Holden township | 22 | 29 | 29 | 0% | 1 | 36.14 | Township |
| Linn township | 23 | 29 | 32 | -3.33% | 1 | 36.30 | Township |
| Logan township | 24 | 29 | 29 | 0% | 1 | 35.98 | Township |
| Spring Hill township | 25 | 28 | 31 | -3.45% | 1 | 33.99 | Township |
| Wheaton township | 26 | 28 | 28 | 0% | 1 | 35.56 | Township |
| Rose Hill township | 27 | 27 | 30 | -3.57% | 1 | 36.30 | Township |
| Ontario township | 28 | 25 | 25 | 0% | 1 | 35.68 | Township |
| Spring Lake township | 29 | 25 | 25 | 0% | 1 | 35.01 | Township |
| Greenleaf township | 30 | 24 | 23 | 0% | 1 | 35.75 | Township |
| Riverside township | 31 | 23 | 23 | 0% | 1 | 35.92 | Township |
| Carlton township | 32 | 19 | 19 | 0% | 1 | 36.05 | Township |
| Park township | 33 | 19 | 19 | 0% | 1 | 36.05 | Township |
| Alden township | 34 | 18 | 18 | 0% | 0.00 | 36.36 | Township |
| Mondamin township | 35 | 18 | 18 | 0% | 1 | 35.86 | Township |
| York township | 36 | 17 | 17 | 0% | 0.00 | 36.20 | Township |
| Campbell township | 37 | 15 | 15 | 0% | 0.00 | 35.88 | Township |
| Glendale township | 38 | 14 | 14 | 0% | 0.00 | 36.11 | Township |
| Pearl township | 39 | 10 | 9 | 0% | 0.00 | 35.38 | Township |
Miller is the largest city in Hand County, with a population of 1,312.
Pearl township is the smallest city in Hand County.
There are 39 cities in Hand County, South Dakota.