| Year | Won | Margin | Democratic | Republican | Total |
|---|---|---|---|---|---|
| 2024 | R | 2,456 | 5,671 | 8,253 | |
| 2020 | R | 2,508 | 5,585 | 8,268 | |
| 2016 | R | 2,090 | 5,067 | 7,772 | |
| 2012 | R | 2,848 | 4,216 | 7,212 | |
| 2008 | R | 2,976 | 4,183 | 7,282 | |
| 2004 | R | 2,308 | 4,556 | 6,940 | |
| 2000 | R | 2,039 | 3,684 | 5,915 | |
| 1996 | R | 2,068 | 2,958 | 5,772 | |
| 1992 | R | 1,798 | 2,699 | 6,166 | |
| 1988 | R | 2,092 | 3,212 | 5,369 | |
| 1984 | R | 1,434 | 3,994 | 5,486 | |
| 1980 | R | 1,244 | 3,581 | 5,183 | |
| 1976 | R | 1,908 | 2,722 | 4,710 | |
| 1972 | R | 1,060 | 3,531 | 4,712 | |
| 1968 | R | 1,216 | 2,916 | 4,672 | |
| 1964 | D | 2,463 | 2,424 | 4,889 | |
| 1960 | R | 1,820 | 3,436 | 5,256 | |
| 1956 | R | 1,897 | 3,539 | 5,454 | |
| 1952 | R | 1,792 | 4,028 | 5,834 | |
| 1948 | R | 2,155 | 2,921 | 5,107 | |
| 1944 | R | 2,106 | 3,288 | 5,421 | |
| 1940 | R | 2,862 | 3,873 | 6,749 | |
| 1936 | D | 3,610 | 3,424 | 7,075 | |
| 1932 | D | 3,861 | 2,420 | 6,356 | |
| 1928 | R | 2,179 | 3,429 | 5,634 | |
| 1924 | R | 1,750 | 3,348 | 5,835 | |
| 1920 | R | 1,592 | 3,683 | 5,338 | |
| 1916 | R | 1,600 | 1,707 | 3,375 | |
| 1912 | D | 1,312 | 850 | 3,345 | |
| 1908 | R | 1,522 | 1,959 | 3,561 | |
| 1904 | R | 1,274 | 2,252 | 3,688 | |
| 1900 | R | 1,733 | 2,212 | 4,022 | |
| 1896 | R | 1,958 | 2,153 | 4,146 | |
| 1892 | R | 1,480 | 1,761 | 3,531 | |
| 1888 | — | — | — | — | |
| 1884 | — | — | — | — | |
| 1880 | — | — | — | — | |
| 1876 | — | — | — | — |
Mills County sits along Iowa's western edge, anchored by Glenwood, and has shifted steadily rightward over the past decade — its 2024 presidential margin of R+39 reflects a rural consolidation pattern common across the Loess Hills corridor.
The Republican margin in Mills County reached its widest at fifty-two points in 1972. The margin in 2024 was thirty-nine points, in line with the county's deep historical pattern.
Mills County's loyalty is rooted in its place. Median household income of $90,753, a 93% non-Hispanic-white share, and a population of 14,568 together describe a community whose political habits are deeply settled. The county's voting pattern over the last decade is most similar to that of Miami County and Otoe County.
