Democrat Amy Acton, a 60-year-old physician, has been elected governor of Ohio, defeating Republican biotech entrepreneur and Trump ally Vivek Ramaswamy. Acton becomes the first woman to serve as Ohio's governor and the first Democrat to hold the office since 2006, ending 16 years of Republican control.
The campaign drew national attention following a controversial attack ad produced by Ramaswamy in October. The ad, which cost millions of dollars, featured Acton's estranged mother calling her a liar. This deeply personal attack faced a barrage of criticism and bipartisan condemnation.
Acton's victory delivered a significant blow to Republicans in Ohio. Meanwhile, voters in the state decided between Republican Sen. Jon Husted and former Democratic Sen. Sherrod Brown, who remained locked in a tight race in the days leading up to Election Day.