Despite a long history of overrepresentation in segregated settings (Brock, 2018), students with disabilities who require extensive supports are more likely to receive inclusive placements in rural schools. In this paper, we present findings from a narrative literature analysis of inclusive education for students with disabilities in rural schools located in the United States. Our search yielded 24 articles, published between 2002 and 2019, which reveal three storylines: (a) perceptions about inclusive education in rural schools and communities, (b) inclusive placements are common for students with disabilities, and (c) access to resources is a factor for rural schools to provide inclusive education programs. The National Rural Education Association (NREA) has prioritized "building capacity to meet the needs of diverse and special populations" and so this review thoroughly examines special education practices in rural schools and describes how the diverse qualities and contexts of rural schools contribute to inclusive education practices.