The May 19 Republican primary for Georgia’s 11th Congressional District produced no majority winner, advancing neurosurgeon John Cowan and former chief of staff Rob Adkerson to a June 16 runoff after Cowan captured roughly 43 percent of the vote to Adkerson’s 22 percent. Trader consensus pricing Cowan well ahead reflects his stronger first-round performance in the open primary to replace retiring Representative Barry Loudermilk, along with his established name recognition from a prior statewide bid. Adkerson’s position draws from institutional ties to the outgoing incumbent yet trails in the head-to-head matchup. Minor candidates remain at negligible levels consistent with their primary results. The runoff timeline and vote consolidation patterns continue to shape assessments of the nomination outcome.