content: <?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
    <headerData>
      <submissionType>144</submissionType>
      <filerInfo>
        <filer>
          <filerCredentials>
            <cik>0001296026</cik>
            <ccc>XXXXXXXX</ccc>
          </filerCredentials>
        </filer>
        <liveTestFlag>LIVE</liveTestFlag>
  
  
      </filerInfo>
    </headerData>
    <formData>
      <issuerInfo>
        <issuerCik>0000726854</issuerCik>
        <issuerName>City Holding Co</issuerName>
        <secFileNumber>000-11733</secFileNumber>
        <issuerAddress>
          <com:street1>25 Gatewater Rd</com:street1>
          <com:city>Cross Lanes</com:city>
          <com:stateOrCountry>WV</com:stateOrCountry>
          <com:zipCode>25313</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>3047691100</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>DERITO JOHN A</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Officer</relationshipToIssuer>
        </relationshipsToIssuer>
      </issuerInfo>
      <securitiesInformation>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Truist Investment Services</name>
          <address>
            <com:street1>300 Summers ST</com:street1>
            <com:street2>STE 500</com:street2>
            <com:city>Chareston</com:city>
            <com:stateOrCountry>WV</com:stateOrCountry>
            <com:zipCode>25301</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>2887</noOfUnitsSold>
        <aggregateMarketValue>305820.00</aggregateMarketValue>
        <noOfUnitsOutstanding>14750000</noOfUnitsOutstanding>
        <approxSaleDate>05/14/2024</approxSaleDate>
        <securitiesExchangeName>NASDAQ</securitiesExchangeName>
      </securitiesInformation>
      <securitiesInformation>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Truist Investment Services</name>
          <address>
            <com:street1>300 Summers ST</com:street1>
            <com:street2>STE 500</com:street2>
            <com:city>Chareston</com:city>
            <com:stateOrCountry>WV</com:stateOrCountry>
            <com:zipCode>25301</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>762</noOfUnitsSold>
        <aggregateMarketValue>80718.00</aggregateMarketValue>
        <noOfUnitsOutstanding>14750000</noOfUnitsOutstanding>
        <approxSaleDate>05/14/2024</approxSaleDate>
        <securitiesExchangeName>NASDAQ</securitiesExchangeName>
      </securitiesInformation>
      <securitiesInformation>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Truist Investment Services</name>
          <address>
            <com:street1>300 Summers ST</com:street1>
            <com:street2>STE 500</com:street2>
            <com:city>Chareston</com:city>
            <com:stateOrCountry>WV</com:stateOrCountry>
            <com:zipCode>25301</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>600</noOfUnitsSold>
        <aggregateMarketValue>63558.00</aggregateMarketValue>
        <noOfUnitsOutstanding>14750000</noOfUnitsOutstanding>
        <approxSaleDate>05/14/2024</approxSaleDate>
        <securitiesExchangeName>NASDAQ</securitiesExchangeName>
      </securitiesInformation>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>02/26/2023</acquiredDate>
        <natureOfAcquisitionTransaction>Payment for Services Rendered</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Employer</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>2887</amountOfSecuritiesAcquired>
        <paymentDate>02/26/2023</paymentDate>
        <natureOfPayment>Compensation</natureOfPayment>
      </securitiesToBeSold>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>02/27/2017</acquiredDate>
        <natureOfAcquisitionTransaction>Stock Option Exercise</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Employer</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>762</amountOfSecuritiesAcquired>
        <paymentDate>02/27/2017</paymentDate>
        <natureOfPayment>Compensation</natureOfPayment>
      </securitiesToBeSold>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>02/26/2015</acquiredDate>
        <natureOfAcquisitionTransaction>Stock Option Exercise</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Employee</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>600</amountOfSecuritiesAcquired>
        <paymentDate>02/26/2015</paymentDate>
        <natureOfPayment>Compensation</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
      <securitiesSoldInPast3Months>
        <sellerDetails>
          <name>John A. &amp; Constance S. Derito</name>
          <address>
            <com:street1>25 Gatewater Rd.</com:street1>
            <com:city>Cross Lanes</com:city>
            <com:stateOrCountry>WV</com:stateOrCountry>
            <com:zipCode>25313</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <saleDate>02/23/2024</saleDate>
        <amountOfSecuritiesSold>1309</amountOfSecuritiesSold>
        <grossProceeds>133580.30</grossProceeds>
      </securitiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>05/14/2024</noticeDate>
        <signature>Jason Coleman as a duly authorized representative of National Financial Services LLC, as attorney-in-fact for John A. Derito</signature>
      </noticeSignature>
    </formData>
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text: 144
  0001296026
  XXXXXXXX
  LIVE
  0000726854
  City Holding Co
  000-11733
  25 Gatewater Rd
  Cross Lanes
  WV
  25313
  3047691100
  DERITO JOHN A
  Officer
  Common
  Truist Investment Services
  300 Summers ST
  STE 500
  Chareston
  WV
  25301
  2887
  305820.00
  14750000
  05/14/2024
  NASDAQ
  Common
  Truist Investment Services
  300 Summers ST
  STE 500
  Chareston
  WV
  25301
  762
  80718.00
  14750000
  05/14/2024
  NASDAQ
  Common
  Truist Investment Services
  300 Summers ST
  STE 500
  Chareston
  WV
  25301
  600
  63558.00
  14750000
  05/14/2024
  NASDAQ
  Common
  02/26/2023
  Payment for Services Rendered
  Employer
  N
  2887
  02/26/2023
  Compensation
  Common
  02/27/2017
  Stock Option Exercise
  Employer
  N
  762
  02/27/2017
  Compensation
  Common
  02/26/2015
  Stock Option Exercise
  Employee
  N
  600
  02/26/2015
  Compensation
  N
  John A. & Constance S. Derito
  25 Gatewater Rd.
  Cross Lanes
  WV
  25313
  Common
  02/23/2024
  1309
  133580.30
  05/14/2024
  Jason Coleman as a duly authorized representative of National Financial Services LLC, as attorney-in-fact for John A. Derito