3 cities
| City | Rank | 2025 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Deltaville | 1 | 731 | 943 | -3.43% | 180 | 4 | CDP |
| Saluda | 2 | 620 | 606 | -1.59% | 191 | 3 | CDP |
| Urbanna | 3 | 518 | 500 | 0.58% | 1,225 | 0 | Town |
Deltaville is the largest city in Middlesex County, with a population of 731.
Urbanna is the smallest city in Middlesex County, with a population of 518.
There are 3 cities in Middlesex County, Virginia.