One of the focal points in the media coverage of the 2016 presidential election was the Appalachia region and the amount of support Donald Trump would receive from its voters in his attempt to become the 45th president of the United States. An aftereffect of the election was the media outlets’ surprise in the region’s 20% shift from Obama voters in 2012 to Trump voters in 2016 (Cottrell, Herron, & Westwood, 2016). One thought is that the media may have “misread” some of the important issues voters in the region faced. The purpose of this article is to examine the ways in which the Appalachian people were represented by national media outlets and regional outlets. A mixed-method analysis of the mediated stories that focused on the region found a type of “narrative flattening” (Reese, 2010) occurring in both the Appalachian regional coverage and the national media coverage.