First of all, its important to make the difference between the accent and the dialect.

The term, accent, is often incorrectly used in its place, but an accent refers only to the way words are pronounced, while a dialect has its own grammar, vocabulary, syntax, and common expressions as well as pronunciation rules that make it unique from other dialects of the same language. Midland -For a long time, the North Midland and South Midland dialects were considered to be part of the Northern and Southern dialect regions respectively and served as a transition zone between them. In recent decades, mainstream thought has begun to consider them to be a distinct dialect region. North Midland (11) - They call doughnuts belly sinkers, doorknobs, dunkers, and fatcakes. Pennsylvania German-English (12) This was strongly influenced by Pennsylvania Dutch, a dialect of German spoken by people in this area. Its grammar allows sentences like "Smear your sister with jam on a slice of bread" and "Throw your father out the window his hat." They call doughnuts fasnacht South Midland (17) A TH at the end of words or syllables is sometimes pronounced F, an A is usually placed at the beginning of the verb that ends with ING, and the G is dropped; an O at the end of a word becomes ER. ("They a-celebratin' his birfday by a-goin' to see 'Old Yeller' in the theatah") Ozark (18) Southern Appalachian (19) Smoky Mountain English (25) This region, located on the border between North Carolina and Tennessee is known for the many archaic features in its pronunciation, vocabulary, and grammar. For example, "They" is used in the place of "there"; subject-verb agreement can differ; and plural nouns may not end with an "s" ("They's ten mile from here to the school"). An "-est" can be placed at the end of a word instead of "most" at the beginning (workingest,completest). Irregular verbs may be treated as regular verbs and vice versa, or they may be treated as irregular in a different way from more general dialects (arrove, blowed,costed). However, increasing mobility and literacy has caused Smoky Mountain to be much less spoken today than it was at the beginning of the twentieth century. Some famous local words are withouten (unless) and whenevern (as soon as).