Note: As defined by the US Census Bureau, a city's official boundaries often extend miles beyond the city itself and may even cross county lines. As such, several thousand US cities officially exist in two or more counties (and therefore appear on multiple counties' lists of cities.)
City | Rank | 2024 Pop. | 2020 Pop. | Change | Density (/mi²) | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Belle Haven | 1 | 6,332 | 6,582 | -0.22% | 3,196 | 2.0 | CDP |
| Chincoteague | 2 | 3,248 | 3,338 | -0.7% | 351 | 9.3 | Town |
| Wattsville | 3 | 1,539 | 622 | 1.99% | 359 | 4.3 | CDP |
| Captains Cove | 4 | 1,214 | 1,257 | 1.08% | 411 | 3.0 | CDP |
| Onancock | 5 | 1,153 | 1,167 | -0.35% | 1,101 | 1.0 | Town |
| Parksley | 6 | 806 | 816 | -0.37% | 1,308 | 0.6 | Town |
| Pastoria | 7 | 780 | 723 | 1.3% | 353 | 2.2 | CDP |
| Gargatha | 8 | 676 | 410 | 3.21% | 228 | 3.0 | CDP |
| Savageville | 9 | 640 | 418 | 5.44% | 597 | 1.1 | CDP |
| New Church | 10 | 534 | 176 | 4.71% | 282 | 1.9 | CDP |
| Belle Haven | 11 | 533 | 539 | -0.37% | 348 | 1.5 | Town |
| Onley | 12 | 533 | 536 | -0.19% | 666 | 0.8 | Town |
| Chase Crossing | 13 | 523 | 357 | 2.15% | 632 | 0.8 | CDP |
| Accomac | 14 | 510 | 516 | -0.39% | 1,250 | 0.4 | Town |
| Atlantic | 15 | 510 | 561 | -4.67% | 86 | 5.9 | CDP |
| Mappsville | 16 | 446 | 536 | 0.22% | 567 | 0.8 | CDP |
| Horntown | 17 | 433 | 255 | -2.26% | 82 | 5.3 | CDP |
| Tangier | 18 | 431 | 433 | -0.23% | 797 | 0.5 | Town |
| Melfa | 19 | 397 | 397 | 0% | 1,364 | 0.3 | Town |
| Bloxom | 20 | 377 | 381 | -0.27% | 1,132 | 0.3 | Town |
| Quinby | 21 | 301 | 309 | 0.67% | 269 | 1.1 | CDP |
| Savage Town | 22 | 288 | 184 | 7.46% | 976 | 0.3 | CDP |
| Nelsonia | 23 | 279 | 490 | -6.06% | 160 | 1.7 | CDP |
| Painter | 24 | 269 | 273 | -0.37% | 413 | 0.7 | Town |
| Wachapreague | 25 | 254 | 257 | -0.39% | 1,139 | 0.2 | Town |
| Temperanceville | 26 | 246 | 165 | -3.15% | 72 | 3.4 | CDP |
| Modest Town | 27 | 240 | 224 | 2.56% | 407 | 0.6 | CDP |
| Bobtown | 28 | 214 | 152 | 0% | 60 | 3.6 | CDP |
| Bayside | 29 | 206 | 218 | 3% | 122 | 1.7 | CDP |
| Hallwood | 30 | 205 | 205 | 0% | 869 | 0.2 | Town |
| Metompkin | 31 | 193 | 434 | -11.47% | 167 | 1.2 | CDP |
| Pungoteague | 32 | 170 | 140 | -6.59% | 65 | 2.6 | CDP |
| Saxis | 33 | 169 | 171 | -0.59% | 417 | 0.4 | Town |
| Cats Bridge | 34 | 158 | 211 | -3.07% | 50 | 3.2 | CDP |
| Keller | 35 | 140 | 144 | -0.71% | 409 | 0.3 | Town |
| Makemie Park | 36 | 140 | 181 | -0.71% | 138 | 1.0 | CDP |
| Greenbush | 37 | 137 | 63 | -4.2% | 138 | 1.0 | CDP |
| Locust Mount | 38 | 113 | 0 | 7.62% | 401 | 0.3 | CDP |
| Lee Mont | 39 | 105 | 28 | -1.87% | 140 | 0.8 | CDP |
| Schooner Bay | 40 | 55 | 117 | 7.84% | 466 | 0.1 | CDP |
| Tasley | 41 | 54 | 353 | -23.94% | 51 | 1.1 | CDP |
| Southside Chesconessex | 42 | 42 | 143 | -14.29% | 31 | 1.4 | CDP |
| Whitesville | 43 | 34 | 34 | -27.66% | 99 | 0.3 | CDP |
| Mappsburg | 44 | 32 | 94 | 10.35% | 14 | 2.3 | CDP |
| Deep Creek | 45 | 25 | 0 | -21.88% | 42 | 0.6 | CDP |
| Greenbackville | 46 | 18 | 35 | -41.94% | 35 | 0.5 | CDP |
| Oak Hall | 47 | 10 | 70 | -64.29% | 9 | 1.1 | CDP |
| Sanford | 48 | 7 | 87 | -66.67% | 2 | 2.9 | CDP |
Note: City markers shown outside the county boundary mean that a part of the city extends into this county, but is primarily located in an adjacent county.
Belle Haven is the largest city in Accomack County.
Sanford is the smallest city in Accomack County.
There are 48 cities in Accomack County, Virginia.