58 cities
| City | Rank | 2025 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Belle Haven | 1 | 6,319 | 6,582 | -0.21% | 3,190 | 2 | CDP |
| Chincoteague | 2 | 3,264 | 3,341 | -0.46% | 352 | 9 | Town |
| Chincoteague | 3 | 3,264 | 3,338 | -0.46% | 352 | 9 | Town |
| Wattsville | 4 | 1,568 | 622 | 1.88% | 366 | 4 | CDP |
| Captains Cove | 5 | 1,226 | 1,257 | 0.99% | 415 | 3 | CDP |
| Onancock | 6 | 1,158 | 1,166 | -0.17% | 1,106 | 1 | Town |
| Onancock | 7 | 1,158 | 1,165 | -0.17% | 1,106 | 1 | Town |
| Parksley | 8 | 811 | 819 | -0.25% | 1,317 | 1 | Town |
| Parksley | 9 | 811 | 818 | -0.25% | 1,317 | 1 | Town |
| Pastoria | 10 | 789 | 723 | 1.15% | 357 | 2 | CDP |
| Gargatha | 11 | 697 | 410 | 3.11% | 236 | 3 | CDP |
| Savageville | 12 | 674 | 418 | 5.31% | 629 | 1 | CDP |
| New Church | 13 | 558 | 176 | 4.49% | 295 | 2 | CDP |
| Onley | 14 | 537 | 537 | 0% | 671 | 1 | Town |
| Onley | 15 | 537 | 536 | 0% | 671 | 1 | Town |
| Belle Haven | 16 | 535 | 540 | -0.19% | 349 | 2 | Town |
| Belle Haven | 17 | 535 | 539 | -0.19% | 349 | 2 | Town |
| Chase Crossing | 18 | 533 | 357 | 1.91% | 644 | 1 | CDP |
| Accomac | 19 | 515 | 520 | -0.19% | 1,262 | 0 | Town |
| Accomac | 20 | 515 | 519 | -0.19% | 1,262 | 0 | Town |
| Atlantic | 21 | 484 | 561 | -5.1% | 82 | 6 | CDP |
| Mappsville | 22 | 446 | 536 | 0% | 567 | 1 | CDP |
| Tangier | 23 | 433 | 433 | 0% | 800 | 1 | Town |
| Tangier | 24 | 433 | 432 | 0% | 800 | 1 | Town |
| Horntown | 25 | 423 | 255 | -2.31% | 80 | 5 | CDP |
| Melfa | 26 | 400 | 399 | 0% | 1,375 | 0 | Town |
| Melfa | 27 | 400 | 399 | 0% | 1,375 | 0 | Town |
| Bloxom | 28 | 379 | 382 | -0.26% | 1,138 | 0 | Town |
| Bloxom | 29 | 379 | 382 | -0.26% | 1,138 | 0 | Town |
| Savage Town | 30 | 309 | 184 | 7.29% | 1,047 | 0 | CDP |
| Quinby | 31 | 302 | 309 | 0.33% | 269 | 1 | CDP |
| Painter | 32 | 271 | 274 | -0.37% | 416 | 1 | Town |
| Painter | 33 | 271 | 274 | -0.37% | 416 | 1 | Town |
| Nelsonia | 34 | 262 | 490 | -6.09% | 150 | 2 | CDP |
| Wachapreague | 35 | 257 | 260 | -0.39% | 1,152 | 0 | Town |
| Wachapreague | 36 | 257 | 260 | -0.39% | 1,152 | 0 | Town |
| Modest Town | 37 | 246 | 224 | 2.5% | 417 | 1 | CDP |
| Temperanceville | 38 | 238 | 165 | -3.25% | 70 | 3 | CDP |
| Bobtown | 39 | 215 | 152 | 0.47% | 60 | 4 | CDP |
| Bayside | 40 | 212 | 218 | 2.91% | 126 | 2 | CDP |
| Hallwood | 41 | 202 | 204 | -0.49% | 856 | 0 | Town |
| Hallwood | 42 | 202 | 204 | -0.49% | 856 | 0 | Town |
| Saxis | 43 | 168 | 170 | -0.59% | 415 | 0 | Town |
| Saxis | 44 | 168 | 170 | -0.59% | 415 | 0 | Town |
| Metompkin | 45 | 167 | 434 | -13.47% | 144 | 1 | CDP |
| Pungoteague | 46 | 157 | 140 | -7.65% | 60 | 3 | CDP |
| Cats Bridge | 47 | 153 | 211 | -3.16% | 48 | 3 | CDP |
| Keller | 48 | 143 | 145 | -0.69% | 418 | 0 | Town |
| Keller | 49 | 143 | 145 | -0.69% | 418 | 0 | Town |
| Makemie Park | 50 | 139 | 181 | -0.71% | 137 | 1 | CDP |
| Greenbush | 51 | 131 | 63 | -4.38% | 132 | 1 | CDP |
| Lee Mont | 52 | 104 | 28 | -0.95% | 138 | 1 | CDP |
| Schooner Bay | 53 | 59 | 117 | 7.27% | 500 | 0 | CDP |
| Southside Chesconessex | 54 | 36 | 143 | -14.29% | 27 | 1 | CDP |
| Tasley | 55 | 36 | 353 | -33.33% | 34 | 1 | CDP |
| Mappsburg | 56 | 34 | 94 | 6.25% | 15 | 2 | CDP |
| Whitesville | 57 | 20 | 34 | -41.18% | 58 | 0 | CDP |
| Greenbackville | 58 | 6 | 35 | -66.67% | 12 | 1 | CDP |
Belle Haven is the largest city in Accomack County, with a population of 6,319.
Greenbackville is the smallest city in Accomack County, with a population of 6.
There are 58 cities in Accomack County, Virginia.