Results of county board races in Madison and St. Clair was a tale of two counties on election night.
Having lost one incumbent in East Alton (James Futtrell) and having picked up a seat in Granite City (Eric Foster), Madison County Republicans will maintain a balance of power in county government,15-14.
Madison County contested board races, by district:
| CANDIDATES | DISTRICT | VOTE TOTALS | PARTY | CITY |
| 5 | ||||
| Mick Madison | 2,718 | Republican | Bethalto | |
| Jessica Ellison Thomas | 1,908 | Democrat | Alton | |
| 6 | ||||
| Raymond Wesley | 2,229 | Republican | Alton | |
| Dustin Hudson | 1,489 | Democrat | Godfrey | |
| 10 | ||||
| Bruce A. Malone | 1,697 | Democrat | Alton | |
| Tim Smith | 944 | Republican | Alton | |
| Joshua Young | 225 | Green | ||
| 11 | ||||
| Dalton Gray | 2,601 | Republican | Troy | |
| Frederick Faust | 1,501 | Democrat | Edwardsville | |
| 13 | ||||
| Matthew A. King | 1,657 | Democrat | East Alton | |
| James D. Futtrell | 1,591 | Republican | East Alton | |
| 14 | ||||
| Tom McRae | 2,065 | Republican | Bethalto | |
| Timothy Tweedy | 1,447 | Democrat | Bethalto | |
| 15 | ||||
| Chrissy Dutton | 1,506 | Republican | Bethalto | |
| Michael Sabolo, Jr. | 1,456 | Democrat | Wood River | |
| 16 | ||||
| Chris Hankins | 1,541 | Democrat | Granite City | |
| Susan Presswood | 1,005 | Independent | Granite City | |
| 21 | ||||
| John Eric Foster | 1,592 | Republican | Granite City | |
| Arthur Asadorian | 1,402 | Democrat | Granite City | |
| 25 | ||||
| Chris Guy | 2,615 | Republican | Maryville | |
| Michael Bartsch | 2,074 | Democrat | Maryville | |
| 27 | ||||
| Clint Jones | 2,208 | Republican | Maryville | |
| Joe Semanisin | 1,833 | Democrat | Edwardsville | |
| 28 | ||||
| Elizabeth Dalton | 1,757 | Democrat | Collinsville | |
| Nancy Moss | 1,388 | Republican | Collinsville |
It was a good night for Democrats in St. Clair County, who won 13 of 17 seats on the ballot. Fourteen of the 17 were contested; they also took three uncontested races. Republicans won four of the 14 contested races and two uncontested ones.
St. Clair County contested races, by district:
| CANDIDATES
| DISTRICT | VOTE TOTALS
| PARTY
| CITY | |
| 1 | |||||
| Robert Allen, Jr. | 1,540 | Democrat | Belleville | ||
| Cathy Demers | 823 | Republican | Collinsville | ||
| 7 | |||||
| Ed Cockrell | 2,794 | Republican | New Athens | ||
| Melinda Schneidewind |
| Democrat | Marissa | ||
| 8 | |||||
| Ken Easterley | 2,070 | Democrat | Belleville | ||
| Deborah Brennan | 1,367 | Republican | Belleville | ||
| 10 | |||||
| Paul Seibert | 1,806 | Democrat | Belleville | ||
| Cindi McDonald | 1,321 | Republican | Belleville | ||
| 11 | |||||
| Jerry Dinges | 1,709 | Democrat | Belleville | ||
| Nicholas Wiesbrock | Republican | Belleville | |||
| 12 | |||||
| Susan Gruberman | 1,885 | Democrat | Belleville | ||
| Kevin Wallace | 1,314 | Republican | Belleville | ||
| 13 | |||||
| Steve Reeb | 2,681 | Republican | Belleville | ||
| Cheryl Newsome | 2,285 | Democrat | Belleville | ||
| 14 | |||||
| Bob Trentman | 2,301 | Democrat | Belleville | ||
| Albert Hampton | 988 | Republican | Belleville | ||
| 19 | |||||
| Jana Moll | 1,158 | Democrat | Belleville | ||
| Daniel Weidenbenner | 1,069 | Republican | Shiloh | ||
| 20 | |||||
| Kevin Dawson | 2,718 | Republican | Mascoutah | ||
| Donna Cameron | 1,070 | Democrat | Mascoutah | ||
| 21 | |||||
| Bert Pruett | 2,167 | Republican | Freeburg | ||
| Frank Heiligenstein | 1,954 | Democrat | Freeburg | ||
| 23 | |||||
| Richie Meile | 2,044 | Democrat | O'Fallon | ||
| Fred Boch | 1,768 | Republican | O'Fallon | ||
| 27 | |||||
| Kenneth Sharkey | 2,176 | Democrat | Fairview Heights | ||
| Matthew Stirrup | 1,159 | Republican | Fairview Heights | ||
| 28 | |||||
| Scott Greenwald | 2,357 | Democrat | Fairview Heights | ||
| Kurt Schutz | 1,707 | Republican | Fairview Heights |