Spinal cord stimulation leads with centrally-concentrated contacts, and associated systems and methods. A representative lead system includes a proximal portion and a distal portion, a plurality of signal delivery contacts carried by the distal portion, with multiple distal-most signal delivery contacts spaced apart by a first distance, multiple proximal-most signal delivery contacts spaced apart by a second distance, and multiple intermediate signal delivery contacts spaced apart by a third distance less than the first and second distances. A plurality of connection contacts is carried by the proximal portion, and individual conductors are connected between individual connection contacts and corresponding individual signal delivery contacts.
