The major problem in high-voltage cable accessories is the electric field stress caused by the high-voltage level at the cable junction. In this paper, a neural network and simulation-based optimal design for extra high-voltage (EHV) cable accessory is proposed to ensure the optimum electrical design. The different kinds of geometries of the EHV underground cable accessory are realized in the Comsol Multiphysics software program, and the electric field analyses are conducted based on the finite element method. The design of high-voltage underground cable accessories is examined both within and without the optimal stress cone geometry. A neural network-based model is developed according to the analysis results obtained in the simulation. Thanks to this model, the geometry of the stress cone is determined. In the simulation-based analysis, the electric field stress caused by the high-voltage level at critical points is controlled with an optimum joint design using neural networks. The proposed model will contribute to EHV cable joint design at different stress levels.