The Madison County Courthouse is a historic courthouse located in Fredericktown, Madison County, Missouri. It was designed by architect Theodore Link and built in 1900 by Louis Miller. It is a two-story, rectangular, eclectic Late Victorian style brick and granite building with an attic and full basement. It measures approximately 66 feet by 76 feet and has a hipped roof. It features a square, five-story tower with a steep pyramidal roof and finial.