Middletown is a city in Butler and Warren counties in the U.S. state of Ohio. The population was 50,987 at the 2020 census. It is part of the Cincinnati metropolitan area in southwest Ohio, 29 miles (47 km) northeast of Cincinnati and 20 miles (32 km) southwest of Dayton. Incorporated in 1833 and designated a city in 1886, Middletown was formed from parts of Lemon, Turtlecreek, and Franklin townships. It was home to AK Steel Holding Corporation, formerly known as Armco and founded in 1900, whose steel factory in Middletown still operates as part of Cleveland-Cliffs. The city also features Hook Field Municipal Airport, now serving only general aviation, and a regional campus of Miami Univers…

Official town website ↗

From Wikipedia, licensed CC BY-SA 4.0 · facts via Wikidata (CC0)

How Middletown ranks

All →

#91Closest to a top hospital in OH #197Most walkable in OH #253Fastest growing in OH All OH rankings →

Town numbers

ZIP code45042, 45044

Area code513

Living in Middletown

Housing in Middletown

$264K▲ 3.1% in a year Typical home value · Zillow

The typical Middletown home is worth about $264,000, up 3.1% in a year, 6% above the Ohio typical home.

A seller's market

Buyer’sBalancedSeller’s

Days on market47

Sale-to-list99.4%

Sold in May59

Zillow Home Value Index · Redfin Data CenterHousing market →

Safety in Middletown

—

Not graded

A grade needs all of the FBI's latest years (2023–2025). Middletown's police department reported only 2023, so we don't grade it yet. The figures below are still real.

Violent crime per 1,000

Middletown 1.9

Ohio 3.2

U.S. 3.9

Property crime per 1,000

Middletown 22.6

Ohio 18

U.S. 19.5

FBI crime data, 2023 · crimes reported to policeCrime & safety →

Health in Middletown

Health Grade D

Healthier than 8% of U.S. towns on seven CDC estimates.

Compared with Ohio

18worse than OH

of 32 measures CDC estimates. The other 14 are too close to call.

Conditions 6▼ 6 close Habits 2▼ 2 close Care 3▼ 4 close Mind 3▼ 2 close Everyday needs 4▼ 0 close

BetterToo close to callWorse

What stands out

21%More adults facing food insecurityOH 14.1% · worse 22.2%More older adults who have lost all their teethOH 15.3% · worse 11.8%More adults facing a utility shut-offOH 8.3% · worse

Care nearby

Atrium Medical CenterFranklin · 2.7 mi · ER

Centerpoint Health MiddletownMiddletown · 1.1 mi · sliding-scale fees

1 hospital · 2 health centers in Middletown →

Primary careShortage · part of Middletown

DentalShortage · part of Middletown

Mental healthShortage · county-wide

CDC PLACES 2025 · modeled estimates for adults · CDC's estimate for Middletown · CMS · HRSAHealth in Middletown →

Natural hazards in Middletown

Moderate

Expected storm and flood damage is higher than in 56% of U.S. communities.

🌊 Inland flooding🌪️ Tornadoes🥶 Cold waves

9Does Middletown flood?paid flood claims since 1995 2Disasters that paid out herefederal disasters sent FEMA money to Middletown MapMiddletown vs. its neighborsnearby towns shaded by rating

FEMA National Risk Index December 2025 · OpenFEMANatural hazards in Middletown →

Schools in Middletown

All Middletown schools →

School Grade C

The public schools Middletown’s kids attend, from kindergarten through graduation, trail 71% of Ohio’s districts on state tests and graduation. Among towns with similar incomes, they rank near the bottom.

See how Middletown’s schools compare in OH →

DistrictMiddletown CitySchools15

Mayfield Elementary School C-Elementary · Grades PK–5 · 503 students Rosa Parks Elementary School D-Elementary · Grades PK–5 · 489 students Wildwood Elementary School C-Elementary · Grades PK–5 · 444 students Amanda Elementary School C-Elementary · Grades PK–5 · 397 students Creekview Elementary School C-Elementary · Grades PK–5 · 392 students Miller Ridge Elementary School CElementary · Grades PK–5 · 387 students

School data from the U.S. Department of Education (NCES, EDFacts). The School Grade is our own summary of state test results and graduation rates, graded within OH. Ratings are from neighbors.