Booziest Counties In North Carolina

Fact Checked by Nate Hamilton

There aren’t 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 today’s microbrewing and distilling era.  

While that connection has brought the state ample beer and distilling options, it’s 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.

See BetMGM.com for Terms. Must be 21+ to participate & present in NC only. New Customer Offer. Subject to eligibility requirements. Rewards are non-withdrawable bonus bets that expire in 7 days. Gambling problem? Call 877-718-5543 or visit morethanagame.nc.gov.

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 region’s 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 Charlotte’s 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 state’s brewing and distilling scene continues to expand, it’s worth remembering the importance of setting limits on one’s drinking, as certain counties in NC have done less successfully based on the data that we’ve 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 & present in NC. T&Cs Apply. Play Responsibly. Gambling problem? Call 877-718-5543 or visit morethanagame.nc.gov

Author

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.

Cited by leading media organizations, such as: