Hughes carried the state with 50.54%, to Wilson's 46.61%, a Republican victory margin of 3.93%. Coming in a distant third was Socialist candidate Allan L. Benson, who took 2.08%.
Massachusetts had long been a typical Yankee Republican bastion in the wake of the Civil War, having voted Republican in every election from 1856 through 1908. However in 1912, former Republican President Theodore Roosevelt had run as a third party candidate against incumbent Republican President William Howard Taft, splitting the Republican vote and allowing Woodrow Wilson as the Democratic candidate to win Massachusetts with a plurality of only 35.53% of the vote. With the Republican base re-united behind Hughes in 1916, Massachusetts was returned to the Republican column.
Hughes won 12 out of 14 counties in the State of Massachusetts, while Wilson won only two. The race was kept close statewide by the fact that Wilson carried Suffolk County, home to the state's capital and largest city, Boston. Wilson's only other county victory was the sparsely populated island of Nantucket. However both candidates had fair levels of support across the state, as neither managed to get more than 60% of the vote in any county. As Wilson narrowly won re-election nationwide, Massachusetts ended weighing in as about 7% more Republican than the national average.
Wilson is the last Democrat to win a presidential election while losing both Massachusetts and neighboring Rhode Island (he had previously carried both states in 1912).