The Paducah, KY-Cape Girardeau, MO-Harrisburg, IL designated market area (DMA) is a U.S. television market serving the people in the states of Illinois, Kentucky and Missouri. It is the 90th biggest media market by size in the United States, with a total population of 378,520 TV households as of the 2024-2025 television season, up +1% from that of the 2023-2024 season. The Paducah-Cape Girardeau-Harrisburg DMA comprises 44 counties across four states, namely, Alexander, Franklin, Gallatin, Hamilton, Hardin, Jackson, Jefferson, Johnson, Massac, Perry, Pope, Pulaski, Saline, Union, and Williamson, IL; Ballard, Caldwell, Calloway, Carlisle, Crittenden, Fulton, Graves, Hickman, Livingston, Lyon, Marshall, and McCracken, KY; Bollinger, Butler, Cape Girardeau, Carter, Dunklin, Madison, Mississippi, New Madrid, Pemiscot, Perry, Ripley, Scott, Stoddard, and Wayne, MO; and Lake, Obion, and Weakley, TN.
| Season | Rank | Share | TV Homes | Change |
|---|---|---|---|---|
| 2024-2025 | 90 | 0.302% | 378,520 | +1.10% |
| 2023-2024 | 90 | 0.300% | 374,420 | +1.39% |
| 2022-2023 | 92 | 0.298% | 369,270 | -1.43% |
| 2021-2022 | 87 | 0.306% | 374,640 | -2.00% |
| 2020-2021 | 84 | 0.316% | 382,300 | +15.5% |
| 2019-2020 | 84 | 0.309% | 330,920 | +2.13% |
| 2018-2019 | 88 | 0.294% | 324,020 | -8.67% |
| 2017-2018 | 82 | 0.316% | 354,790 | -3.95% |
| 2016-2017 | 83 | 0.322% | 369,390 | -0.32% |
| 2015-2016 | 82 | 0.327% | 370,560 | -1.92% |
| 2014-2015 | 81 | 0.332% | 377,830 | -3.24% |
| 2013-2014 | 81 | 0.337% | 390,490 | +0.55% |
| 2012-2013 | 81 | 0.340% | 388,340 | -1.27% |
| 2011-2012 | 81 | 0.343% | 393,330 | -1.38% |
| 2010-2011 | 80 | 0.344% | 398,820 | -0.22% |
| 2009-2010 | 78 | 0.348% | 399,690 | +1.64% |
| 2008-2009 | 78 | 0.344% | 393,260 | +0.80% |
| 2007-2008 | 79 | 0.346% | 390,130 | +1.46% |
| 2006-2007 | 80 | 0.345% | 384,510 | +0.31% |
| 2005-2006 | 80 | 0.348% | 383,330 | -0.40% |