Walking in Middletown can be a convenient option in certain areas, particularly in neighborhoods and parts of the downtown area where sidewalks and pedestrian pathways are available. However, the overall walkability of the city may vary depending on the specific location, as some areas are more car-oriented. The city’s infrastructure supports walking in select zones, but distances between key destinations and the suburban layout may make walking less practical for longer trips. Seasonal weather, including hot summers and cold winters, can also influence the comfort of walking as a primary mode of transportation.

Biking is a practical way to get around Middletown, especially for those who enjoy outdoor travel. The city offers access to the Great Miami River Trail, a scenic and well-maintained path that connects Middletown to other areas, making it easier to navigate certain parts of the region by bike. However, the overall biking infrastructure within the city itself may be limited, which could affect convenience for daily commutes or errands. The relatively flat terrain in the area supports comfortable cycling, but riders should plan routes carefully to ensure safe and accessible travel.

Public transportation in Middletown is provided through the Middletown Transit System, operated by the Butler County Regional Transit Authority. The system includes four fixed bus routes, providing access to key areas within the city. Passengers can use the Transit app to track buses in real time, which helps with planning trips efficiently. While the transit system connects various parts of the city, factors like the distance between stops and specific destinations may influence its convenience. Accessibility services are available for individuals with disabilities, making public transit a practical option for many residents and visitors.