Elliott County's hard swing towards the Republican Party continued in 2016, when it voted for Republican Donald Trump over Democrat Hillary Clinton by a 70.1–25.9% margin, decisively ending the Democratic Party's 140-year victory streak. Despite Trump's victory, Democratic candidates for down-ballot offices managed to carry the county. In the Senate race, Democratic nominee Jim Gray won 56.0% of the county's vote to Republican Senator Rand Paul’s 44.0%, and Democratic State Rep. Rocky Adkins, a Sandy Hook native whose state house district includes the entire county, was reelected and took 86% of the vote in Elliott. Trump won the county again in 2020 with an even larger share of the vote than he did 4 years prior.