There are 7 cities in West Virginia in the Northwest region.
City | Rank | County | 2024 Pop. |
|---|---|---|---|
| Parkersburg | 1 | Wood County | 28,812 |
| Vienna | 2 | Wood County | 10,396 |
| Williamstown | 3 | Wood County | 2,943 |
| St. Marys | 4 | Pleasants County | 1,738 |
| Belmont | 5 | Pleasants County | 822 |
| North Hills | 6 | Wood County | 811 |
| Cairo | 7 | Ritchie County | 164 |