MD 18 is a state highway in Queen Anne's County that connects Kent Island to the mainland Eastern Shore. MD 18 was original to this road when road numbering began, but part of this route became part of MD 404 and, more recently, US 50 following the completion of the Chesapeake Bay Bridge. US 50 was moved to a new highway and MD 18 was once again routed along its former route in the 1950's. Today, it serves as a local alternative to US 50/US 301.