There arenāt a lot of American states that have had a more thorough connection with the drinks industry than the Tar Heel State has over the years, from the days of the American Revolution through Prohibition and todayās microbrewing and distilling era.
While that connection has brought the state ample beer and distilling options, itās also presented an open-ended opportunity to drink excessively, which has led to an elevated level of excessive drinkers in certain counties.
Thanks to CountyHealthRankings.org, BetCarolina.com paused North Carolina sports betting updates and utilized the 2024 annual data by county of North Carolina that includes the percentage of adults who reported either binge or heavy drinking.
The CDC defined binge drinking as 4 or more drinks in one occasion for females, while it is 5 or more in one occasion for males. Heavy drinking is defined as 8 or more drinks per week for females and 15 or more drinks per week for males.
Gambling problem? Call 1-800-GAMBLER (Available in the US) Call 877-8-HOPENY or text HOPENY (467369) (NY) Call 1-800-327-5050 (MA), 1-800-NEXT-STEP (AZ), 1-800-BETS-OFF (IA), 1-800-981-0023 (PR) 21+ only. Please Gamble Responsibly. See BetMGM.com for Terms. First Bet Offer for new customers only (if applicable). Subject to eligibility requirements. Bonus bets are non-withdrawable. In partnership with Kansas Crossing Casino and Hotel. This promotional offer is not available in DC, Mississippi, New York, Nevada, Ontario, or Puerto Rico.
Top 10 Booziest Counties In North Carolina
Overall Rank
County
% of Excessive Drinkers
1
Wake County
21.48%
2
New Hanover County
20.97%
3
Onslow County
20.39%
4
Currituck County
20.10%
5
Orange County
19.57%
6
Mecklenburg County
19.26%
7
Watauga County
19.11%
8
Buncombe County
19.02%
9
Camden County
18.98%
10
Durham County
18.96%
Which NC Counties Drink The Most?
Based on our findings, the NC counties with the worst drinking problems are Wake County, with 21.48% of the regionās population being excessive drinkers, while New Hanover County (20.97%), Onslow County (20.39%), Currituck County (20.10%) and Orange County (19.57%) round out the Tar Heel State top five.
Throw in others like Charlotteās Mecklenburg County (19.26%), Watauga County (19.11%), Buncombe County (19.02%), Camden County (18.98%) and Durham County (18.96%) and you have the full rundown on the counties in North Carolina with the highest percentages of problem drinkers.
As the stateās brewing and distilling scene continues to expand, itās worth remembering the importance of setting limits on oneās drinking, as certain counties in NC have done less successfully based on the data that weāve collected from the Tar Heel State.
As BetCarolina brings you coverage of all things in the Tar Heel State, be sure to check out our best North Carolina sportsbook promos before you place your next bet!
Must be 21+ to participate. Gambling Problem? Call 1-800-GAMBLER or visit FanDuel.com/RG (CO, IA, KY, MI, NJ, OH, PA, IL, TN, VA, VT), 1-800-NEXT-STEP or text NEXTSTEP to 53342 (AZ), 1-888-789-7777 or visit ccpg.org/chat (CT), 1-800-9-WITH-IT (IN), 1-800-522-4700 or visit ksgamblinghelp.com (KS), 1-877-770-STOP (LA), visit www.mdgamblinghelp.org (MD), 1-800-522-4700 (WY), or visit www.1800gambler.net (WV). GamblingHelpLineMA.org or call (800) 327-5050 for 24/7 support (MA). Call 1-877-8HOPE-NY or text HOPENY (467369) (NY).
Christopher Boan is a lead writer at BetCarolina.com specializing in covering state issues. He has covered sports and sports betting in Arizona for more than seven years, including stops at ArizonaSports.com, the Tucson Weekly and the Green Valley News.
Exclusive Offer
Bet $5,
Get $150
In Bonus Bets Win or Lose
Must be 21+ to participate. Gambling problem? Call 1-800-GAMBLER (CO, IL, IA, KY, KS, LA, MD, NC, NJ, OH, PA, TN, VA). Call 1-800-NEXT-STEP (AZ). Call 1-800-9-WITH-IT (IN). Deposit required. Paid in Bonus Bets. Bets wager excluded from returns. New Customer only. T&Cs, time limits and exclusions apply. Code is for marketing/tracking purposes.
$1,500 Paid Back in Bonus Bets
If You Don't Win
Use Bonus Code:
BETCAROLINA
Gambling problem? Call 1-800-GAMBLER (Available in the US) Call 877-8-HOPENY or text HOPENY (467369) (NY) Call 1-800-327-5050 (MA), 1-800-NEXT-STEP (AZ), 1-800-BETS-OFF (IA), 1-800-981-0023 (PR) 21+ only. Please Gamble Responsibly. See BetMGM.com for Terms. First Bet Offer for new customers only (if applicable). Subject to eligibility requirements. Bonus bets are non-withdrawable. In partnership with Kansas Crossing Casino and Hotel. This promotional offer is not available in DC, Mississippi, New York, Nevada, Ontario, or Puerto Rico.
Bet $10
Get $100 if You Win
Use Promo Code:
BETACAROLINA
Must be 21+ to participate. T&Cs Apply. Play Responsibly. Gambling problem? Call 1-800-GAMBLER (CO, DC, IL, KY, LA, MD, MS, NJ, OH, PA, VA, WV, WY), Call 1-800-9-WITH-IT (IN), Call 877-8-HOPENY or text HOPENY (467369) (NY). Call 1-800-NEXT-STEP (AZ), 1-800-522-4700 (KS), 1-800-327-5050 (MA), 1-800-BETS-OFF (IA), 1-800-270-7117 for confidential help (MI), Call 877-718-5543 or visit morethanagame.nc.gov. (NC), Call or Text 800-889-9789 (TN).
GAMBLING PROBLEM? CALL 1-800-GAMBLER, (800) 327-5050 or visit http://gamblinghelplinema.org (MA). Call 877-8-HOPENY/text HOPENY (467369) (NY). Please Gamble Responsibly. 888-789-7777/visit http://ccpg.org (CT), or visit www.mdgamblinghelp.org (MD). 21+ and present in most states. (18+ DC/KY/NH/WY). Void in ONT/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). Pass-thru of per wager tax may apply in IL. 1 per new customer. Must register new account to receive reward Token. Must select Token BEFORE placing min. $5 bet to receive $200 in Bonus Bets if your bet wins. Min. -500 odds req. Token and Bonus Bets are single-use and non-withdrawable. Token expires 1/11/26. Bonus Bets expire in 7 days (168 hours). Stake removed from payout. Terms: http://sportsbook.draftkings.com/promos . Ends 1/4/26 at 11:59 PM ET. Sponsored by DK.
Bet $5, Get
$250 in Bonus Bets
If Your Bet Wins!
Must be 21+ to participate. Gambling Problem? Call 1-800-GAMBLER or visit FanDuel.com/RG (CO, IA, KY, MI, NJ, OH, PA, IL, TN, VA, VT), 1-800-NEXT-STEP or text NEXTSTEP to 53342 (AZ), 1-888-789-7777 or visit ccpg.org/chat (CT), 1-800-9-WITH-IT (IN), 1-800-522-4700 or visit ksgamblinghelp.com (KS), 1-877-770-STOP (LA), visit www.mdgamblinghelp.org (MD), 1-800-522-4700 (WY), or visit www.1800gambler.net (WV). GamblingHelpLineMA.org or call (800) 327-5050 for 24/7 support (MA). Call 1-877-8HOPE-NY or text HOPENY (467369) (NY).
Bet And Get Up To
$2,000 In FanCash Bet Insurance
21+. New customers in AZ, CO, CT, DC, IA, IL, IN, KS, KY, LA, MA, MD, MI, NC, NJ, OH, PA, TN, VA, VT, WV, or WY (excludes NY). Apply promotion in bet slip and place a $1+ cash wager (min odds -500) daily for 10 consecutive days starting day of account creation. Wager must settle as a loss to earn FanCash equal to losing amount (max $200 FanCash/day). FanCash issued under this promotion expires at 11:59 p.m. ET 7 days from issuance. Terms, incl. FanCash terms, applyāsee Fanatics Sportsbook app. Gambling Problem? Call or Text 1-800-GAMBLER, 1-800-NEXT-STEP (AZ), 1-800-9-WITH-IT (IN), 1-888-532-3500 (VA).