Accomack County is a United States county located in the eastern edge of the Commonwealth of Virginia. Together, Accomack and Northampton counties make up the Eastern Shore of Virginia, which in turn is part of the Delmarva Peninsula, bordered by the Chesapeake Bay and the Atlantic Ocean. Accomac is the county seat.

Northampton County is a county located in the Commonwealth of Virginia. As of the 2020 census, the population was 12,282. Its county seat is Eastville. Northampton and Accomack Counties are a part of the larger Eastern Shore of Virginia.