With 119 voters on the roll at the 2023 parliamentary election, Karakoc stands 129th among the 184 localities of Adıyaman, and its votes were cast at one ballot box.
The neighborhood parts ways with the district as a whole. At the 2023 parliamentary election it went to Yeşil Sol Parti with 55 votes, while across Adıyaman the leading party was AK Parti, with Yeşil Sol Parti here running 39.8 points above its district average. In the presidential runoff, 96 of 100 valid votes went to Kemal Kılıçdaroğlu — 58.0 points above the district average. At the 2017 referendum 154 of 156 valid votes were 'no' — 62.5 points above the district average.
First place has changed hands 4 times here since 2009. The electorate shrank from 209 registered voters in 2011 to 119 in 2023 — a change of about 43 percent. The tightest race came at the 2023 parliamentary election: Yeşil Sol Parti took 55 votes to CHP's 42 — a margin of just 13 votes. Turnout at the 2024 local election was 81.2%, 8.9 points above the district average.