The oldest original slate gravestones on Cape Cod are dated 1683 and one of the three (Thomas Clark) is located in the Sandwich Old Burial Ground. Also known as the Old Town Cemetery, the site has gravestones dated up to 1749.

Crossways Cemetery is the oldest cemetery in the town of Tisbury and may have been used as early as 1701. Originally a private burial ground for the family of Abraham Chase, his descendants later donated the property to the town. Also known as South End Cemetery.

Two of the three oldest (circa 1683) original slate gravestones on Cape Cod are located in Barnstable Lothrop Hill Cemetery. The burial ground has graves dates through 1729.

Discovered in 1987, the Miacomet Indian Burial Ground is one of the largest in the state. Also know as the Native American Burial Ground, it contains the graves of over 200 Native Americans buried during the epidemic of 1763 and 1762. The site features a commemorative boulder, but no headstones.

Added to the National Historic Register in 2005, the 9 acre Dennis Village Cemetery was used though 1779.

According to CapeCodgravestones.com, up through 1750, at least 90% of the gravestones displayed winged skulls. "The oldest stones have grim images suggesting pessimism about the soul ascending to heaven" with images of bones, an hourglass or the flames of hell. An example from 1709 can be found on the grave of Tamsen Sunderlin in the Brewster Old Burial Ground.

Added to the National Register of Historic Places in 1999, the Cove Burying Ground is on of the oldest on Cape Cod with some of the oldest examples of fieldstone gravestones that date to the 1700s.

Used up through 1749, the Old North Cemetery is the oldest burial ground in Truro and is on the National Register of Historic Places. The "original proprietors, town officials, clergy, sea captains, and all others associated with the early settlement and development of the town" are buried here.