The value of all farmsand rural real estate for sale in Virginia's Middlesex County recently was nearly $65 million, representing a combined 2,624 acres of land for sale in Middlesex County. Middlesex County ranks 47th in the Old Dominion for the total number of acres of land currently advertised for sale. Of all locations in Middlesex County with farms, hunting land and other rural land and acreage for sale, Hartfield featured the most land for sale. Based on its natural assets, Middlesex County's economy is dependent on tourism and recreation. Middlesex County is the 92nd largest county (210 square miles) in Virginia. It's located in the Coast Virginia region of the state.