The Appalachian region was historically a stronghold for Country and Bluegrass music.

Country and bluegrass music are deeply rooted in the Appalachian culture, emerging from a blend of traditional folk, Scots-Irish, and African American musical influences. This genre features instruments like the banjo, fiddle, guitar, and mandolin, and often reflects themes of rural life, love, and storytelling. The region's rich musical heritage is celebrated in festivals and gatherings, contributing to the ongoing popularity of these music styles. Artists like Bill Monroe, often referred to as the "Father of Bluegrass," have played a significant role in shaping and popularizing these musical traditions, making Appalachia a vital center for country and bluegrass music.