Neatsville is an unincorporated community in Adair County, in the U.S. state of Kentucky.

[3][4] In its early history from around the 1810s to 1900, Neatsville progressively grew to become a well-established, incorporated town.

[2][4] As it expanded, the community grew to encompass several stores, a hotel, a doctor's office, mills, a sawmill, distilleries, a saloon, a salt works, a cooper shop, a carding machine, and a Masonic Lodge.

[4][6][9] Erosion had occurred in the foundations of the buildings in the former location due to the flooding.

[9] A 1916 local account of the town's former site after the flooding characterized it as "nearly obliterated" and "in ruins".