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- Tehama County
- Plumas County
- Yuba County - Bordering Butte County to the southeast, rural Yuba County is located along the western slope of the Sierra Nevadas, offering visitors recreational opportunities in the Plumas and Tahoe National Forests, and providing a glimpse into the area's Gold Rush past at the ghost town of Timbuctoo and neighboring Smartsville. The western side of the county is flatter, more populous, and primarily used for fruit orchards, rice fields, and grazing.
- Sutter County - Butte County's southeastern neighbor, tiny Sutter County lies between the Sacramento and Feather rivers, with nearly 90% of the county's land used for grazing and agriculture. The county is home to the eroded volcanic lava domes of the Sutter Buttes, which occupy a circular area roughly ten miles across and are sometimes referred to as the world's smallest mountain range.
- 1 Colusa County - Located southwest of Butte County, visitors to rural Colusa County will find an abundance of rice fields and almond trees, but a limited number of amenities and attractions. Sights that may be of interest include four national wildlife refuges, as well as the Colusa County Courthouse in the town of Colusa, which was erected in 1861 and is the oldest remaining courthouse in the Sacramento Valley.
- 2 Glenn County - Bordering Butte County to the west, Glenn County is an agricultural region that is most likely to be experienced by travelers passing through on Interstate 5. While it lacks significant amenities, there are a few options for travelers to experience small-town America at events such as the Glenn County Fair, held in mid-May in the town of Orland, or at the Thunderhill Raceway Park outside of Willows, home to the longest automobile race in the United States: the 25 Hours of Thunderhill.