The Keya Paha River flows east-southeasterly through the lower part of the county.
The county terrain is composed of rolling hills carved by gullies and drainages.
[4] The county terrain generally slopes to the south and east, although its upper portion drops northward into the White River valley.
The county's highest point is on the lower part of its west boundary line, at 2,552 ft (778 m) ASL.
In no national election since 1964 has the county selected the Democratic Party candidate (as of 2024).
The Democratic Party has not obtained forty percent of the county's vote since Jimmy Carter in 1976.