New Power Players Reshape PR Rankings as October Signals a 2026 Shift
Top 10 US PR Rankings - October 2025
Publicis Health Media (New York., NY) *
Burson (New York, NY) *
Fabric Media (Los Angeles, CA) *
360PR+ (Boston, MA) *
Impact PR & Communications (Lagrangeville, NY) -
Aspectus Group (New York, NY) -
M Booth & Associates (New York, NY) -
Walker Sands (Chicago, IL) *
Davis & Company (Chicago, IL) *
Saatchi & Saatchi Wellness (New York, NY) *
* New top 10 company in list
– Top 10 Ranking same from prior month
↑Increased ranking in top 10
↓ Decreased top 10 ranking
The Top 10 US Public Relations and Communications Companies list is calculated from a weighted analysis of key indicators of “deep interest” from businesses seeking to find PR and communications partners in the United States.
October arrived with unmistakable momentum across the public relations industry as agencies intensified their 2026 outreach and clients signaled a growing appetite for innovation, integrated strategy and measurable impact. The latest rankings from CommPRO and CommunicationsMatch reflect that urgency, with seven agencies breaking into the top 10 and four reaching the upper tier for the first time. Chicago and Boston returned to national prominence, the West Coast stayed represented through Fabric Media’s sustained performance, and two health-focused PR agencies earned top-10 positions for the first time, highlighting the rising importance of health communications heading into an election year.
The middle of the list remained steady, reinforcing the staying power of independent firms that continue to anchor the industry’s creative edge and operational resilience. Their consistency stands out in a month defined by movement at the top, offering a reminder that stability and focus remain competitive advantages as the communications landscape evolves.
Publicis Health Media jumped straight onto the list and straight into first place. The New York-based healthcare communications powerhouse specializes in audience-first media strategy, planning and buying for healthcare brands. The firm’s strength lies in combining data intelligence with behavioral insight, enabling clients to reach patients, caregivers and healthcare professionals with precision. Their surge reflects broader industry movement toward analytics-driven health communications and targeted media activation.
Returning to the top 10 and securing second place is Burson, the global communications firm headquartered in New York. Burson’s blend of reputation management, AI-powered intelligence and creativity continues to shape culture and drive change for major brands. Its rise this month mirrors a larger trend toward reputation and risk expertise as organizations brace for election-year volatility.
Fabric Media, a consistent force out of Los Angeles, climbed back into third place. Known for media innovation and sharp market navigation, the agency specializes in crafting campaigns designed to shift perception and drive action. Fabric’s west-coast leadership acts as an anchor at a time when coastal balance in the rankings is tightening.
Fourth place goes to 360PR+, headquartered in Boston and breaking into the top 10 for the first time since the rankings began. The fully integrated agency excels in brand storytelling, earned media, digital strategy and influencer engagement, partnering with consumer and mission-driven brands seeking relevance and long-term audience connection. Their presence highlights the resurgence of Boston as a communications hub heading into 2026.
Impact PR & Communications held its fifth-place position, extending its steady streak. Based in New York’s Hudson Valley region and operating across three states, the firm is known for creative campaigns that link people and purpose, reinforcing how independent agencies continue to deliver durable performance month after month.
Aspectus Group remained in sixth place. Headquartered in New York, the global independent agency works across technology, financial services, capital markets, energy and industrials. Its specialization in insight-driven brand building and stakeholder-focused storytelling reflects the broader industry shift toward integrated thinking and market fluency.
In seventh place, M Booth & Associates continued its rise as a bold-minded agency rooted in cultural insight, creative storytelling and strategic reputation building. The New York-based firm delivers cross-sector impact and maintains momentum as clients prioritize cultural fluency heading into the new year.
Walker Sands made its debut in eighth place. Headquartered in Chicago, the full-service B2B growth agency uses an outcome-based marketing framework that blends strategy, insights, creative, PR and digital to drive measurable business results. Their entry signals renewed strength in the Midwest as B2B tech and professional services sectors accelerate.
In ninth place — and joining the top 10 for the first time — is the former Davis & Company, now part of bswift and headquartered in Chicago. The agency specializes in employee benefits communication and is helping HR leaders simplify complex programs, boost understanding and motivate action. Their rise reflects one of the fastest-growing trends in communications: the increasing centrality of internal communications and employee-experience strategy.
Saatchi & Saatchi Wellness completed the list in tenth place with its first appearance in the top 10. The New York-based creative health and wellness agency works across pharma, consumer health and lifestyle categories, blending behavioral insight with storytelling to move people toward healthier choices. Their addition solidifies a new reality: health communications is no longer a category on the side, it is now a core engine powering agency growth.
For communicators, October’s rankings reveal more than movement. They reflect a marketplace redefining value around integrated strategy, audience insight, culture shaping, health fluency and employee communication. Agencies rising now are those investing in creativity amplified by intelligence, while those holding steady demonstrate resilience through focus. As planning for 2026 accelerates, the competition for strategic partnership — not just execution — is reshaping the agency landscape.
This list is published monthly in CommPRO as part of the partnership between CommunicationsMatch™ and CommPRO. This collaboration integrates CommunicationsMatch™’s agency search and RFP tools with CommPRO's publishing and events, creating a powerful platform to facilitate new client-agency connections and generate valuable business opportunities for US-based public relations and communications companies.
