| Name | What | Region | Country | Lat | Long | Elev Ft. | Pop Est |
| Zacata | city | Virginia | United States | 38.12 | -76.7825 | 98 | 2197 |
| Zack | city | Virginia | United States | 37.99278 | -79.36111 | 1814 | 1048 |
| Zanoni | city | Virginia | United States | 37.38861 | -76.48778 | 3 | 5129 |
| Zenda | city | Virginia | United States | 38.50528 | -78.76917 | 1292 | 3550 |
| Zenobia | city | Virginia | United States | 36.75139 | -82.2075 | 1758 | 1855 |
| Zepp | city | Virginia | United States | 39.00667 | -78.49806 | 1023 | 1814 |
| Zeus | city | Virginia | United States | 38.40278 | -78.22194 | 469 | 1900 |
| Zion | city | Virginia | United States | 37.99806 | -78.23417 | 505 | 3337 |
| Zion Crossroads | city | Virginia | United States | 37.97083 | -78.22 | 498 | 3337 |
| Ziontown | city | Virginia | United States | 37.58778 | -77.56111 | 203 | 105232 |
| Zirkle | city | Virginia | United States | 38.49389 | -78.855 | 1433 | 26084 |
| Zoar historical | city | Virginia | United States | 37.3625 | -77.82361 | 298 | 3031 |
| Zollman historical | city | Virginia | United States | 37.73 | -79.4825 | 994 | 4893 |
| Zouave Hills | city | Virginia | United States | 38.80694 | -77.54806 | 249 | 16269 |
| Zulla | city | Virginia | United States | 38.92278 | -77.78528 | 590 | 1840 |
| Zuni | city | Virginia | United States | 36.86583 | -76.83111 | 49 | 2635 |
|
|