However, like the rest of the region, it is very liberal on social issues like abortion and gay rights, and thus the Democratic Party has dominated in its federal elections in recent years.

Although the state came extremely close to voting for Trump in 2016, polls throughout the 2020 campaign showed a clear Biden lead, and prior to election day, all 14 news organizations considered New Hampshire a state that Biden was favored to win.

[4] Biden carried voters prioritizing healthcare policy with 73% campaigning on protecting coverage for pre-existing conditions,[4] a resonant issue in a state plagued by the opioid crisis.

[5] Biden's best margin was in the socially liberal Connecticut River Valley, which had overwhelmingly favored Bernie Sanders in the Democratic primary, while Trump's strength came in the rural Great North Woods Region.

[7] Typically, the top candidates of the other major party receive a large number of write-in votes.

Counties that flipped from Republican to Democratic Biden flipped the counties of Carroll, Hillsborough, Rockingham, and Sullivan, of which Hillsborough (which houses the state's largest city of Manchester) and Sullivan had voted for Barack Obama twice before switching to Trump in 2016.