44 cities
| City | Rank | 2025 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Belle Haven | 1 | 6,319 | 6,582 | -0.21% | 3,190 | 1.98 | CDP |
| Chincoteague | 2 | 3,226 | 3,338 | -0.68% | 348 | 9.26 | Town |
| Wattsville | 3 | 1,568 | 622 | 1.88% | 366 | 4.29 | CDP |
| Captains Cove | 4 | 1,226 | 1,257 | 0.99% | 415 | 2.95 | CDP |
| Onancock | 5 | 1,150 | 1,167 | -0.26% | 1,098 | 1.05 | Town |
| Parksley | 6 | 804 | 816 | -0.25% | 1,305 | 0.62 | Town |
| Pastoria | 7 | 789 | 723 | 1.15% | 357 | 2.21 | CDP |
| Gargatha | 8 | 697 | 410 | 3.11% | 236 | 2.96 | CDP |
| Savageville | 9 | 674 | 418 | 5.31% | 629 | 1.07 | CDP |
| New Church | 10 | 558 | 176 | 4.49% | 295 | 1.89 | CDP |
| Chase Crossing | 11 | 533 | 357 | 1.91% | 644 | 0.83 | CDP |
| Belle Haven | 12 | 532 | 539 | -0.19% | 347 | 1.53 | Town |
| Onley | 13 | 532 | 536 | -0.19% | 665 | 0.80 | Town |
| Accomac | 14 | 509 | 516 | -0.2% | 1,248 | 0.41 | Town |
| Atlantic | 15 | 484 | 561 | -5.1% | 82 | 5.90 | CDP |
| Mappsville | 16 | 446 | 536 | 0% | 567 | 0.79 | CDP |
| Tangier | 17 | 431 | 433 | 0% | 797 | 0.54 | Town |
| Horntown | 18 | 423 | 255 | -2.31% | 80 | 5.27 | CDP |
| Melfa | 19 | 397 | 397 | 0% | 1,364 | 0.29 | Town |
| Bloxom | 20 | 376 | 381 | -0.27% | 1,129 | 0.33 | Town |
| Savage Town | 21 | 309 | 184 | 7.29% | 1,047 | 0.29 | CDP |
| Quinby | 22 | 302 | 309 | 0.33% | 269 | 1.12 | CDP |
| Painter | 23 | 268 | 273 | -0.37% | 412 | 0.65 | Town |
| Nelsonia | 24 | 262 | 490 | -6.09% | 150 | 1.74 | CDP |
| Wachapreague | 25 | 253 | 257 | -0.39% | 1,135 | 0.22 | Town |
| Modest Town | 26 | 246 | 224 | 2.5% | 417 | 0.59 | CDP |
| Temperanceville | 27 | 238 | 165 | -3.25% | 70 | 3.41 | CDP |
| Bobtown | 28 | 215 | 152 | 0.47% | 60 | 3.58 | CDP |
| Bayside | 29 | 212 | 218 | 2.91% | 126 | 1.69 | CDP |
| Hallwood | 30 | 205 | 205 | 0% | 869 | 0.24 | Town |
| Saxis | 31 | 169 | 171 | 0% | 417 | 0.41 | Town |
| Metompkin | 32 | 167 | 434 | -13.47% | 144 | 1.16 | CDP |
| Pungoteague | 33 | 157 | 140 | -7.65% | 60 | 2.60 | CDP |
| Cats Bridge | 34 | 153 | 211 | -3.16% | 48 | 3.17 | CDP |
| Keller | 35 | 139 | 144 | -0.71% | 406 | 0.34 | Town |
| Makemie Park | 36 | 139 | 181 | -0.71% | 137 | 1.01 | CDP |
| Greenbush | 37 | 131 | 63 | -4.38% | 132 | 0.99 | CDP |
| Lee Mont | 38 | 104 | 28 | -0.95% | 138 | 0.75 | CDP |
| Schooner Bay | 39 | 59 | 117 | 7.27% | 500 | 0.12 | CDP |
| Southside Chesconessex | 40 | 36 | 143 | -14.29% | 27 | 1.35 | CDP |
| Tasley | 41 | 36 | 353 | -33.33% | 34 | 1.07 | CDP |
| Mappsburg | 42 | 34 | 94 | 6.25% | 15 | 2.27 | CDP |
| Whitesville | 43 | 20 | 34 | -41.18% | 58 | 0.34 | CDP |
| Greenbackville | 44 | 6 | 35 | -66.67% | 12 | 0.52 | 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 44 cities in Accomack County, Virginia.