Butlhead Cove is a bay located in Ketchikan Gateway County, Alaska. It appears on the Ketchikan A-3 SW USGS 7.5-minute topographic quadrangle. The elevation at this location is approximately 0.92 feet (0.28 m) above sea level. The nearest populated place is Kah Shakes (historical), approximately 1.3 miles to the SSW.