When it comes to the "drunkest" anything, whether it be state, county, or city, it will depend on data is being used and where does it come from.

Recently, it was reported that Montana is home to some of the drunkest counties in the country.

Related: This Montana County Is The Drunkest One In America

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Related: Three Montana Cities Rank As 'Drunkest' In the Nation

There is one Montana city that, according to VinePair.com, ranks as the "drunkest" in the state, using the 2023 County Health Rankings and Roadmaps. In fact, only two cities in the entire country rank higher.

⬇️Keep Scrolling to See the Drunkest City in Montana⬇️

The rankings are based on the percentage of adults who drink excessively.

The city with the highest percentage in the country, according to the rankings, is Dubuque, Iowa with 27.4% of adults who drink excessively. It is followed by Wausau-Weston, Wisconsin with 27.2%.

Before we get to the drunkest city in Montana, here are Montana's top 10 drunkest counties.

Revealing The Top 10 Drunkest Counties In Montana For 2025

The "drunkest" cities in our neighboring states are:

  • Bismarck, North Dakota - with 23.1%
  • Rapid City, South Dakota - with 21.1%
  • Lewiston, Idaho - with 20.3%
  • Casper, Wyoming - with 19.0%

Montana's "drunkest" city is Missoula with 24.9% of adults who drink excessively.

Drunkest Cities in Every State in the U.S.
Credit: VinePair.com
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The least drunk city is Salt Lake City, Utah with a 14.0%.

Montanans like to drink adult beverages, if we didn't we wouldn't have nearly as many bars as we do.

Related: The Number Of Bars Per Person Is Surprising, and Not

It doesn't look like Missoula will be competing with Salt Lake City anytime soon for having the lowest percentage of adults who drink excessively. The best we can hope for is to avoid outdoing Dubuque.

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Gallery Credit: Meg Dowdy

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