Pilgrims Knob is an unincorporated community in Buchanan County, Virginia, United States.

As of the 2000 census, the Pilgrims Knob area had a population of 479.

However, the area was not named until 1938 when the first post office was opened by Thomas Ward, a descendant of Milton Ward, under the name "Pilgrim Knob".

The name was given by Ward's wife in honor of the pioneers who first settled the area.

This Buchanan County, Virginia state location article is a stub.