Along with nearby Wolfe County, Elliott was one of two counties in Kentucky that has voted against Senator Mitch McConnell in all of his elections (though this streak would also come to an end in 2020). It also had never voted for Representative Hal Rogers in any of his contested elections until 2018, when he won 54.6% of the county’s vote over Democratic nominee Kenneth Stepp. However, Elliott County has remained reliably Democratic in non-presidential races, voting for the party's entire slate in the 2015 and 2019 statewide elections.