Scotts Hill is a town in Decatur and Henderson counties in the U.S. state of Tennessee.

[5] The community was named after Micajah Scott, a pioneer settler and the first merchant to settle in the town.

[7] Shortly after its incorporation, in May 1917, the east end of Scotts Hill was destroyed by a severe tornado.

[7] The town was again damaged on October 16, 1917, when a fire destroyed all twelve businesses and five homes.

According to the United States Census Bureau, Scotts Hill has a total area of 3.8 square miles (9.8 km2), all land.

Scotts Hill Elementary School currently operates pre-kindergarten through eighth grade.