13 cities
| City | Rank | 2025 Pop. ↓ | 2020 Pop. | Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Kingwood | 1 | 2,941 | 2,978 | -0.24% | 1,210 | 2.43 | City |
| Terra Alta | 2 | 1,407 | 1,422 | -0.21% | 1,187 | 1.19 | Town |
| Arthurdale | 3 | 1,196 | 1,368 | 7.17% | 241 | 4.96 | CDP |
| Reedsville | 4 | 522 | 531 | -0.38% | 802 | 0.65 | Town |
| Masontown | 5 | 504 | 506 | 0% | 1,813 | 0.28 | Town |
| Rowlesburg | 6 | 431 | 441 | -0.46% | 426 | 1.01 | Town |
| Tunnelton | 7 | 289 | 293 | -0.34% | 863 | 0.34 | Town |
| Aurora | 8 | 262 | 200 | 1.55% | 124 | 2.11 | CDP |
| Newburg | 9 | 255 | 262 | -0.39% | 325 | 0.79 | Town |
| Albright | 10 | 244 | 248 | -0.41% | 1,052 | 0.23 | Town |
| Brandonville | 11 | 127 | 129 | 0% | 330 | 0.39 | Town |
| St. George | 12 | 104 | 128 | 7.22% | 98 | 1.06 | CDP |
| Bruceton Mills | 13 | 61 | 61 | 0% | 1,109 | 0.06 | Town |
Kingwood is the largest city in Preston County, with a population of 2,941.
Bruceton Mills is the smallest city in Preston County.
There are 13 cities in Preston County, West Virginia.