Worthville is a home rule-class city in Carroll County, Kentucky, United States.

Eagle Creek, on the county line, flows past the southern border of the town and joins the Kentucky River less than 1 mile (1.6 km) to the southwest.

According to the United States Census Bureau, Worthville has a total area of 0.25 square miles (0.66 km2), all land.

The racial makeup of the city was 99.07% White, 0.47% African American, and 0.47% from two or more races.

About 10.9% of families and 15.5% of the population were below the poverty line, including 18.8% of those under the age of eighteen and none of those 65 or over.