| Year | Won | Margin | Democratic | Republican | Total |
|---|---|---|---|---|---|
| 2024 | R | 1,391 | 8,674 | 10,122 | |
| 2020 | R | 1,489 | 8,365 | 9,946 | |
| 2016 | R | 1,627 | 7,543 | 9,399 | |
| 2012 | R | 2,583 | 6,847 | 9,598 | |
| 2008 | R | 3,219 | 5,825 | 9,227 | |
| 2004 | R | 4,005 | 5,664 | 9,770 | |
| 2000 | R | 4,031 | 4,551 | 8,748 | |
| 1996 | D | 4,444 | 3,225 | 8,604 | |
| 1992 | D | 5,215 | 3,504 | 9,796 | |
| 1988 | D | 4,906 | 4,080 | 9,045 | |
| 1984 | R | 5,085 | 5,365 | 10,554 | |
| 1980 | D | 4,758 | 4,417 | 9,377 | |
| 1976 | D | 5,415 | 4,679 | 10,284 | |
| 1972 | R | 797 | 1,839 | 2,660 | |
| 1968 | R | 4,105 | 4,450 | 9,399 | |
| 1964 | R | 1,245 | 1,663 | 2,911 | |
| 1960 | D | 3,867 | 3,363 | 7,265 | |
| 1956 | R | 3,714 | 4,548 | 8,304 | |
| 1952 | R | 4,242 | 4,622 | 8,891 | |
| 1948 | R | 4,069 | 4,297 | 8,466 | |
| 1944 | D | 4,470 | 3,921 | 8,399 | |
| 1940 | D | 4,180 | 2,623 | 6,809 | |
| 1936 | D | 4,120 | 2,066 | 6,199 | |
| 1932 | D | 2,892 | 1,985 | 4,915 | |
| 1928 | R | 2,383 | 3,337 | 5,720 | |
| 1924 | R | 2,376 | 2,456 | 4,946 | |
| 1920 | R | 1,592 | 2,162 | 3,761 | |
| 1916 | R | 1,287 | 1,569 | 2,869 | |
| 1912 | D | 1,023 | 699 | 2,318 | |
| 1908 | R | 805 | 1,334 | 2,143 | |
| 1904 | R | 780 | 1,329 | 2,119 | |
| 1900 | D | 1,493 | 1,392 | 2,893 | |
| 1896 | D | 1,475 | 1,470 | 2,972 | |
| 1892 | D | 1,604 | 1,131 | 2,791 | |
| 1888 | — | — | — | — | |
| 1884 | — | — | — | — | |
| 1880 | — | — | — | — | |
| 1876 | — | — | — | — |
Tucked into Virginia's far southwest tip where the state narrows to a point, Lee County recorded an R+72 presidential margin in 2024, placing it among the most one-sided counties in the commonwealth and reflecting the broader realignment of Appalachian coal-country voters.
The Democratic margin in Lee County peaked at thirty-three points in 1936. By 2000 the county had flipped, voting Republican for the first time in many years. The 2024 margin was seventy-two points, the most Republican-leaning result in the county's modern history.
The economic context is the key. Lee County's median household income of $41,827 sits well below state and national norms, and 29% of residents live below the federal poverty line. The shift here is part of a broader realignment of working-class places across the country. The county's voting pattern over the last decade is most similar to that of Marshall County and Wise County.