[4] The terrain of Hand County consists of rolling hills, dotted with infrequent ponds and small lakes.

[5] The terrain slopes to the east and northeast; its highest point is on the lower part of the county's west boundary line, at 2,080 ft (630 m) ASL.

In terms of ancestry, 57.3% were German, 15.3% were Irish, 9.0% were Norwegian, 8.1% were English, 6.1% were Dutch, and 3.4% were American.

Source:[5] The county contains one area of unorganized territory: Northwest Hand.

Hand County voters have voted Republican for many decades.

In only one national election since 1936 has the county selected the Democratic Party candidate.