Middletown leans slightly Republican by roughly 14 points: about 43% of voters vote Democratic and 57% Republican.
About 86% of adults in Middletown typically vote, above the U.S. average of about 62%. Among adults in Middletown, ~37% vote Democratic, ~49% Republican, and ~14% don't vote. The map below shows estimated turnout by block group.
How Middletown compares
Among cities within 25 miles, Middletown leans more Republican than 3 of 9 neighbors.
Middletown runs about 11 points more Republican than North Carolina as a whole.
Why Middletown 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 Middletown, not a ranked or complete list of what matters most.
Rural areas vote Republican. About 2% of residents in Middletown live in densely developed areas, about 24 points below the North Carolina average of 27%. Low college attainment predicts Republican voting, and Middletown sits in the bottom quarter (about 11%, below 90% of cities).
Population density and Republican lean
Places with low population density tend to lean Republican; Middletown, NC sits in the bottom tenth nationally on this measure.
Why turnout in Middletown looks the way it does
Areas with limited routine healthcare access turn out at lower rates. Middletown 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 Cities
- Engelhard, NC R+15
- Nebraska, NC R+11
- Fairfield, NC R+33
- Swanquarter, NC R+41
- Gum Neck, NC R+41
- Rose Bay, NC R+41
- Stumpy Point, NC R+57
- Scranton, NC R+42
- Ocracoke, NC D+13
Cities with Similar Populations
- Marienthal, KS R+79
- Ringgold, OH R+60
- Amity, MO R+67
- Eldena, IL R+36
- Daggett, IL R+37
- Impact, TX R+65
- Brohard, WV R+66
- Stirling City, CA R+25
- Elba Center, IL R+48
- Locke Station, MS R+11
All Local Stats
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Sources and methodology
Precinct-level voting records used to fit the model come from North Carolina State Board 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.