Judicial elections have two opposing effects on legitimacy perceptions for state supreme courts. Elections not only provide a boost to legitimacy through the chance to hold officials accountable but also involve campaign activity that decreases legitimacy perceptions. This article examines these two opposing effects using a nationally representative survey that includes items assessing diffuse support for state supreme courts. It uses multiple indicators to differentiate between states with highly active election systems involving large amounts of campaign activity and states with less active elections systems that involve little campaign activity. The results from the survey show that the legitimacy of elected courts is higher than appointed courts but only in states with little election activity. In states with high amounts of election activity, the legitimacy of elected courts is lower than appointed courts.