39 cities
| City | Rank | 2025 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Miller | 1 | 1,297 | 1,344 | -0.77% | 1,310 | 1 | City |
| Miller | 2 | 208 | 195 | 1.46% | 6 | 35 | Township |
| Miller | 3 | 193 | 193 | 0% | 5 | 36 | Township |
| St. Lawrence | 4 | 160 | 165 | -0.62% | 466 | 0 | Town |
| Rockdale | 5 | 142 | 143 | -0.7% | 4 | 36 | Township |
| Hulbert | 6 | 59 | 56 | 3.51% | 2 | 36 | Township |
| Ohio | 7 | 57 | 58 | -1.72% | 2 | 36 | Township |
| Alpha | 8 | 56 | 53 | 3.7% | 2 | 36 | Township |
| Ree Heights | 9 | 55 | 55 | 0% | 186 | 0 | Town |
| Orient | 10 | 51 | 51 | 0% | 173 | 0 | Town |
| St. Lawrence | 11 | 49 | 48 | 2.08% | 1 | 37 | Township |
| Burdette | 12 | 48 | 45 | 4.35% | 1 | 36 | Township |
| Como | 13 | 48 | 45 | 4.35% | 1 | 34 | Township |
| Grand | 14 | 47 | 46 | 0% | 1 | 37 | Township |
| Plato | 15 | 47 | 48 | 0% | 1 | 36 | Township |
| Bates | 16 | 42 | 43 | 0% | 1 | 36 | Township |
| Orient | 17 | 36 | 35 | 0% | 1 | 35 | Township |
| Linn | 18 | 35 | 32 | 6.06% | 1 | 36 | Township |
| Hiland | 19 | 33 | 34 | 0% | 1 | 36 | Township |
| Rose Hill | 20 | 33 | 32 | 0% | 1 | 36 | Township |
| Gilbert | 21 | 32 | 31 | 0% | 1 | 36 | Township |
| Cedar | 22 | 31 | 32 | 0% | 1 | 34 | Township |
| Holden | 23 | 31 | 29 | 3.33% | 1 | 36 | Township |
| Pleasant Valley | 24 | 31 | 32 | 0% | 1 | 36 | Township |
| Spring Hill | 25 | 30 | 31 | 0% | 1 | 34 | Township |
| Logan | 26 | 28 | 30 | -3.45% | 1 | 36 | Township |
| Wheaton | 27 | 28 | 30 | -3.45% | 1 | 36 | Township |
| Ontario | 28 | 22 | 24 | -4.35% | 1 | 36 | Township |
| Spring Lake | 29 | 22 | 24 | -4.35% | 1 | 35 | Township |
| Greenleaf | 30 | 20 | 22 | -4.76% | 1 | 36 | Township |
| Riverside | 31 | 20 | 22 | -4.76% | 1 | 36 | Township |
| Alden | 32 | 19 | 19 | 0% | 1 | 36 | Township |
| Mondamin | 33 | 19 | 19 | 0% | 1 | 36 | Township |
| Park | 34 | 19 | 19 | 0% | 1 | 36 | Township |
| Carlton | 35 | 18 | 20 | -5.26% | 0.00 | 36 | Township |
| Campbell | 36 | 17 | 17 | 0% | 0.00 | 36 | Township |
| York | 37 | 17 | 17 | 0% | 0.00 | 36 | Township |
| Glendale | 38 | 14 | 14 | 0% | 0.00 | 36 | Township |
| Pearl | 39 | 9 | 9 | 0% | 0.00 | 35 | Township |
Miller is the largest city in Hand County, with a population of 1,297.
Pearl is the smallest city in Hand County, with a population of 9.
There are 39 cities in Hand County, South Dakota.