| City | Rank | 2026 Pop. ↓ | 2020 Pop. | Annual Change | Density (/mi²) | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Urbanna | 1 | 511 | 499 | 0.59% | 1,208 | 0 | Town |
Urbanna is the largest city in Middlesex County, with a population of 511.
Urbanna is the smallest city in Middlesex County, with a population of 511.
There is 1 city in Middlesex County, Virginia.