Elizabethtown leans Republican by roughly 20 points: about 40% of voters vote Democratic and 60% Republican.
About 83% of adults in Elizabethtown typically vote, above the U.S. average of about 62%. Among adults in Elizabethtown, ~33% vote Democratic, ~50% Republican, and ~17% don't vote. The map below shows estimated turnout by block group.
How Elizabethtown compares
Among cities within 25 miles, Elizabethtown leans more Republican than 39 of 152 neighbors.
Elizabethtown runs about 18 points more Republican than Pennsylvania as a whole.
Politics vary noticeably by neighborhood within Elizabethtown. The northeast side is the most Republican-leaning (R+37) and the east side is the least Republican-leaning (R+8), a spread of about 29 points.
Why Elizabethtown leans the way it does
This analysis examined 14,881 data points per city to find what predicts political lean and turnout. The items below are a few correlations that stood out for Elizabethtown, not a ranked or complete list of what matters most.
Elizabethtown votes Republican even though it is densely developed (about 58%, well above the Pennsylvania average of 33%). State and regional patterns outweigh the Democratic lean that density usually predicts here.
Walkability and Democratic lean
Places with a highly walkable street grid tend to lean Democratic; Elizabethtown, PA sits in the top quarter nationally on this measure. A walkable street grid does not change how people vote; it mostly reflects how urban a place is.
Why turnout in Elizabethtown looks the way it does
Areas with strong routine healthcare access turn out at higher rates. Elizabethtown is in the top quarter nationally for routine-care measures such as insurance coverage, preventive screenings, and dental visits. The dental-visit rate here is about 69%, about 9 points above the U.S. average of 60%. Learn more about the findings and methodology on the political spectrum map.
Nearby Cities
- Bellaire, PA R+47
- Rheems, PA R+29
- Milton Grove, PA R+46
- Deodate, PA R+35
- Stacktown, PA R+41
- Bainbridge, PA R+49
- Maytown, PA R+37
- Falmouth, PA R+50
- Lawn, PA R+38
- Donegal Springs, PA R+34
Cities with Similar Populations
- Lenoir City, TN R+51
- Bemidji, MN R+7
- North Royalton, OH R+14
- South Lake Tahoe, CA D+18
- Mount Airy, MD R+15
- Middleton, WI D+53
- Dodge City, KS R+20
- Bloomington, CA D+10
- Johnston, RI R+4
- Winterville, NC D+14
Sources and methodology
Precinct-level voting records used to fit the model come from Pennsylvania Department of State, Bureau of Elections, distributed by the Voting and Election Science Team. Demographic inputs come from the U.S. Census Bureau (ACS 5-year estimates and the 2020 Decennial Census). Health and environmental inputs come from the CDC (PLACES and the Environmental Justice Index). Land cover comes from the USGS and EPA. Election-day and lead-up weather come from PRISM 4km daily grids and the NOAA Global Historical Climatology Network. Mail-voting and election-administration patterns come from the MIT Election Lab's Survey of the Performance of American Elections. Block-group crime detail comes from CrimeGrade. Internet data and modeling support provided by ISPreports.org.
Modeling and analysis by the BestNeighborhood data science team. Full methodology and findings: political spectrum map.
Methodology reviewed by the BestNeighborhood data team. Last updated May 2026.