There are 8 smaller population centers (urban areas) in the municipality, where approximately 80 percent of the population lives, surrounded by sparsely populated rural areas.

Östra Göinge Municipality is part of Göinge (), a region in northern Scania which borders the provinces Småland and Blekinge. The landscape is gently undulating and densely forested with deciduous and coniferous trees, interspersed with open areas of flat and fertile agricultural land. Even though this is a typical northern Scanian landscape, Östra Göinge's abundance of small forest tarns, winding brooks and large lakes make it similar to the province Småland as well. The large, scenic river Helgeån runs through the municipality, offering ample opportunities for fishing of pike, perch and pike-perch, as well as brown trout, eel, whitefish and chub.

The Snapphane, Scanian resistance fighters of 17th century, took refuge in the forests of Östra Göinge. Considered rebels and bandits by the Swedish army, the Snapphanar were protected by the local population and their bravery is still cherished in the municipality. All of Göingebygden endured hardship and suffered devastation during the times after the Treaty of Roskilde in 1658, during Scania's transition from being a Danish to becoming a Swedish ruled territory.

The dialect of Göingebygden has historically been distinguishable from the southern Scanian dialects as well as the northern Småland dialects, perhaps because the population took pride in the area's historical autonomy and resilient resistance.

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