Hill County is a Republican stronghold. About 21% of voters here vote Democratic and 79% Republican.
About 66% of adults in Hill County typically vote, near the U.S. average of about 62%. Among adults in Hill County, ~14% vote Democratic, ~52% Republican, and ~34% don't vote. The map below shows estimated turnout by block group.
How Hill County compares
Among counties within 50 miles, Hill County leans more Republican than 5 of 8 neighbors.
Hill County runs about 44 points more Republican than Texas as a whole.
Politics vary noticeably by city within Hill County. The northwest side is the most Republican-leaning (R+76) and the north side is the least Republican-leaning (R+60), a spread of about 16 points.
Why Hill County leans the way it does
Density, race composition, education, and family structure all sit close to their national averages in Hill County. The lean here lands roughly where demographic data alone would predict.
Preventive-care access and voter turnout
Places with limited routine preventive-care access tend to turn out at a lower rate; Hill County, TX sits in the bottom quarter nationally on this measure. Dental visits do not drive turnout; the rate reflects income, insurance, and healthcare access, which line up with who votes.
Why turnout in Hill County looks the way it does
Areas with limited routine healthcare access turn out at lower rates. Hill County is in the bottom quarter nationally for routine-care measures such as insurance coverage, preventive screenings, and dental visits. Learn more about the findings and methodology on the political spectrum map.
Nearby Counties
- Bosque County, TX R+63
- McLennan County, TX R+19
- Johnson County, TX R+50
- Ellis County, TX R+31
- Somervell County, TX R+67
- Navarro County, TX R+34
- Hood County, TX R+61
- Limestone County, TX R+40
- Falls County, TX R+25
- Tarrant County, TX D+3
Counties with Similar Populations
- Sioux County, IA R+55
- Livingston County, IL R+38
- Adams County, IN R+60
- Floyd County, KY R+61
- Washington County, TX R+37
- Greene County, PA R+43
- Greenup County, KY R+52
- Miami County, IN R+45
- Cocke County, TN R+65
- Laclede County, MO R+61
Sources and methodology
Precinct-level voting records used to fit the model come from Texas Secretary of State, Elections Division, 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.