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Hot Springs is a historic town in Madison County, North Carolina, situated along the French Broad River in the Appalachian Mountains. Long before European settlement, the area was inhabited by Cherokee communities who recognized the region's natural thermal springs, which they considered sacred and used for healing and ritual purposes. European-American settlers began arriving in the late 18th and early 19th centuries, drawn by the fertile river valleys and the reputed health benefits of the hot mineral springs. The town grew as a popular destination for travelers seeking wellness, commerce, and transportation along the French Broad River.

The economy of Hot Springs historically combined tourism, agriculture, and trade. Visitors were drawn to the healing waters, leading to the establishment of inns, bathhouses, and later, modern resorts. Local agriculture included farming of corn, vegetables, and livestock, while nearby forests supported timber operations. The French Broad River provided a route for transporting goods, connecting the community to Asheville and other regional markets. Tourism gradually became a central economic pillar, shaping Hot Springs' identity as a destination town.

Infrastructure development played a critical role in Hot Springs' growth. Early roads followed the river corridor, connecting Hot Springs to Marshall, Asheville, and neighboring counties. The French Broad River also served as a transportation route for freight and passengers before the widespread development of railroads and highways. In the 19th century, stagecoach routes and later improved highways made travel to the town easier, cementing its reputation as a health and vacation destination.

Community life in Hot Springs has been strongly influenced by its resort-town character. Churches, schools, and civic organizations contributed to a sense of cohesion, while hospitality services became central to local employment and culture. Seasonal events, local markets, and festivals brought residents and visitors together, enhancing community ties. The town has historically attracted a mix of long-term residents and visitors, blending mountain culture with tourism-oriented influences.

Today, Hot Springs is celebrated for its scenic river views, historic inns, and recreational opportunities. Residents enjoy kayaking, tubing, and fishing along the French Broad River, as well as hiking on the Appalachian Trail, which passes nearby. Residential properties include historic homes, riverfront cottages, and modern houses, many catering to second-home buyers and retirees. With its combination of historic charm, natural beauty, and wellness tourism, Hot Springs remains a unique and attractive community in Madison County.