Exhibit 23.1

Consent of Independent Registered Public Accounting Firm

We consent to the incorporation by reference in the following Registration Statements:

1) Registration Statement (Form S-8 No. 333-87667) of City Holding Company pertaining to the 1993 Incentive Plan,

2) Registration Statement (Form S-8 No. 333-115282) of City Holding Company pertaining to the 2003 Incentive Plan,

3) Registration Statement (Form S-8 No. 333-189055) of City Holding Company pertaining to the 2013 Incentive Plan, and

of our report dated March 11, 2019, with respect to the consolidated financial statements of City Holding Company included in this Annual Report (Form 10-K) of City Holding Company for the year ended December 31, 2019.

/s/ Ernst & Young LLP

Charleston, West Virginia

February 27, 2020