Tower Hill is a village in Shelby County, Illinois, United States.

According to the 2010 census, Tower Hill has a total area of 1.01 square miles (2.62 km2), all land.

There were 256 housing units at an average density of 255.2 per square mile (98.5/km2).

The racial makeup of the village was 98.52% White, 0.33% Native American, and 1.15% from two or more races.

22.8% of all households were made up of individuals, and 12.9% had someone living alone who was 65 years of age or older.