Rocky Mount is a city in Nash and Edgecombe counties in the U.S. state of North Carolina. The city's population was 54,341 as of the 2020 census, making it the 20th-most populous city in North Carolina. The city is 45 mi (72 km) east of Raleigh, the state capital. It is the principal city of the Rocky Mount metropolitan area—often called the "Twin Counties"—which had an estimated population of 145,383 in 2023. Rocky Mount is also an anchor city of the Rocky Mount-Wilson-Roanoke Rapids, NC Combined Statistical Area, which had an estimated population of 288,366 in 2023. English and Scots traders encountered the indigenous people in this area of the falls of the Tar River beginning in the mid-1700s. Incorporated in 1867, the community continued to develop through the 19th century based on agriculture (cotton and tobacco), manufacturing of textiles (made possible by the water power of the falls), and development of rail transportation to link the town to major markets. Since the late 20th century, the economy of Rocky Mount has diversified into biomedical pharmaceuticals, manufacturing, and logistics. Rocky Mount has twice received the All-America City Award from the National Civic League: in 1969 and 1999.