Cities with the highest rate of motor vehicle fatalities

TFoxFoto // Shutterstock
TFoxFoto // Shutterstock

The last few years saw a startling trend on America's roads. The number of car crash fatalities in 2021 and 2022 reached levels the country hadn't seen in 15 years. But that pattern may be changing. According to an April 2024 report released by the National Highway Traffic Safety Administration, an estimated 40,990 people died in traffic accidents in 2023, as compared to 42,514 the year prior. It's the second straight year that car crash fatalities overall have gone down.

Though the 3.6% drop from 2022 to 2023 is significant, authorities warn that these numbers are no cause for celebration. Upon release of the report, the deputy administrator of the NHTSA told AP that distracted drivers are often to blame for driving fatalities—roughly 3,300 of traffic deaths in 2022 were caused by drivers not paying enough attention to the road. 

Unfortunately, drivers today are much more distracted than you might think. In April 2024, Nationwide released new data showing that the average driver looks away from the road upward of 12 times per day. Eating ranked as the #1 distraction, and making work phone calls came in second.

As summer kicks off, it's also worth noting that the season can be an especially deadly time for American drivers and their passengers. A May 2024 analysis from USA Today found that in some states, the number of deadly car accidents in June, July, and August has increased by almost 40%. 

These numbers do vary in greatly in different areas of the country. To see how they compare, Stacker used Department of Transportation data to rank the 50 cities with the highest motor vehicle crash fatality rates in 2020 and broke ties by the total number of fatalities. Only cities with a population of at least 150,000 were considered.

Many of the cities that rank among the most deadly are located in the southern U.S. Read on to see if your city made the list.

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Front of black car damaged by accident.

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1 / 50

#50. Oklahoma City

- Motor vehicle crash fatalities: 12.23 per 100,000 residents (81 total)
- Pedestrian fatalities from vehicle crashes: 3.77 per 100,000 residents (25 total)

Car crashed into parked car on neighborhood street.

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2 / 50

#49. Salt Lake City

- Motor vehicle crash fatalities: 12.25 per 100,000 residents (25 total)
- Pedestrian fatalities from vehicle crashes: 1.96 per 100,000 residents (4 total)

Car crash accident on street.

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3 / 50

#48. Wichita, Kansas

- Motor vehicle crash fatalities: 12.25 per 100,000 residents (48 total)
- Pedestrian fatalities from vehicle crashes: 1.28 per 100,000 residents (5 total)

Vehicle lying on its roof in the middle of the road.

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4 / 50

#47. Newport News, Virginia

- Motor vehicle crash fatalities: 12.29 per 100,000 residents (22 total)
- Pedestrian fatalities from vehicle crashes: 1.68 per 100,000 residents (3 total)

Car turned over after an accident.

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6 / 50

#45. Miami

- Motor vehicle crash fatalities: 12.72 per 100,000 residents (60 total)
- Pedestrian fatalities from vehicle crashes: 4.45 per 100,000 residents (21 total)

Broken front of a car after a collision.

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7 / 50

#44. Montgomery, Alabama

- Motor vehicle crash fatalities: 12.74 per 100,000 residents (25 total)
- Pedestrian fatalities from vehicle crashes: 4.08 per 100,000 residents (8 total)

A white and black car pictured after a crash.

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8 / 50

#43. Huntsville, Alabama

- Motor vehicle crash fatalities: 12.81 per 100,000 residents (26 total)
- Pedestrian fatalities from vehicle crashes: 3.94 per 100,000 residents (8 total)

Scene of a car crash with paramedics.

Gorodenkoff // Shutterstock

9 / 50

#42. Toledo, Ohio

- Motor vehicle crash fatalities: 12.89 per 100,000 residents (35 total)
- Pedestrian fatalities from vehicle crashes: 2.21 per 100,000 residents (6 total)

Close-up of policeman doing investigation at road accident area.

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11 / 50

#40. Phoenix

- Motor vehicle crash fatalities: 13.11 per 100,000 residents (224 total)
- Pedestrian fatalities from vehicle crashes: 4.27 per 100,000 residents (73 total)

Close-up shot of the trunk of a car lying upside down after a crash on a motorway.

Juice Flair // Shutterstock

12 / 50

#39. Bakersfield, California

- Motor vehicle crash fatalities: 13.22 per 100,000 residents (51 total)
- Pedestrian fatalities from vehicle crashes: 3.63 per 100,000 residents (14 total)

Photo of a car, helmet and motorcycle on road.

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13 / 50

#38. Fresno, California

- Motor vehicle crash fatalities: 13.39 per 100,000 residents (71 total)
- Pedestrian fatalities from vehicle crashes: 5.47 per 100,000 residents (29 total)

Fatal automobile accident on road, destroyed in a crash.

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14 / 50

#37. Augusta-Richmond County consolidated government, Georgia

- Motor vehicle crash fatalities: 13.67 per 100,000 residents (27 total)
- Pedestrian fatalities from vehicle crashes: 5.06 per 100,000 residents (10 total)

Emergency crew removing a victim from a car accident.

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15 / 50

#36. Tulsa, Oklahoma

- Motor vehicle crash fatalities: 14.63 per 100,000 residents (59 total)
- Pedestrian fatalities from vehicle crashes: 3.97 per 100,000 residents (16 total)

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Groceries and broken bike on pedestrian crossing after collision with a car.

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16 / 50

#35. Fayetteville, North Carolina

- Motor vehicle crash fatalities: 14.64 per 100,000 residents (31 total)
- Pedestrian fatalities from vehicle crashes: 6.14 per 100,000 residents (13 total)

Police car with a flasher in front of damaged truck.

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17 / 50

#34. Milwaukee

- Motor vehicle crash fatalities: 14.77 per 100,000 residents (87 total)
- Pedestrian fatalities from vehicle crashes: 2.55 per 100,000 residents (15 total)

Blurred photo of a motorcyle accident scene.

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18 / 50

#33. Akron, Ohio

- Motor vehicle crash fatalities: 14.80 per 100,000 residents (29 total)
- Pedestrian fatalities from vehicle crashes: 2.04 per 100,000 residents (4 total)

Inside of a car with shattered glass.

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19 / 50

#32. Hollywood, Florida

- Motor vehicle crash fatalities: 14.88 per 100,000 residents (23 total)
- Pedestrian fatalities from vehicle crashes: 2.59 per 100,000 residents (4 total)

Artificial white roses flowers on the site of a car crash.

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20 / 50

#31. Mobile, Alabama

- Motor vehicle crash fatalities: 14.91 per 100,000 residents (28 total)
- Pedestrian fatalities from vehicle crashes: 2.66 per 100,000 residents (5 total)

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Warped, flattened white car after a car accident.

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21 / 50

#30. Kansas City, Kansas

- Motor vehicle crash fatalities: 15.06 per 100,000 residents (23 total)
- Pedestrian fatalities from vehicle crashes: 2.62 per 100,000 residents (4 total)

Close-up of a bicycle accident on the city street.

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22 / 50

#29. Indianapolis

- Motor vehicle crash fatalities: 15.26 per 100,000 residents (134 total)
- Pedestrian fatalities from vehicle crashes: 4.44 per 100,000 residents (39 total)

Bars on historical Broadway in downtown Nashville.

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23 / 50

#28. Nashville-Davidson metro, Tennessee

- Motor vehicle crash fatalities: 15.49 per 100,000 residents (104 total)
- Pedestrian fatalities from vehicle crashes: 5.51 per 100,000 residents (37 total)

Low angle of a car accident scene.

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24 / 50

#27. Orlando, Florida

- Motor vehicle crash fatalities: 15.55 per 100,000 residents (45 total)
- Pedestrian fatalities from vehicle crashes: 3.80 per 100,000 residents (11 total)

Emergency responders at the scene of a motorcycle and car accident.

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26 / 50

#25. Knoxville, Tennessee

- Motor vehicle crash fatalities: 15.77 per 100,000 residents (30 total)
- Pedestrian fatalities from vehicle crashes: 2.63 per 100,000 residents (5 total)

Close up of dented front bumper.

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27 / 50

#24. Atlanta

- Motor vehicle crash fatalities: 15.80 per 100,000 residents (81 total)
- Pedestrian fatalities from vehicle crashes: 4.88 per 100,000 residents (25 total)

Motorcycle helmet on the street after a fatal accident with a car.

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28 / 50

#23. Dallas

- Motor vehicle crash fatalities: 16.53 per 100,000 residents (222 total)
- Pedestrian fatalities from vehicle crashes: 4.91 per 100,000 residents (66 total)

Scene of an accident at night with flashing lights from emergency vehicles.

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29 / 50

#22. Shreveport, Louisiana

- Motor vehicle crash fatalities: 16.78 per 100,000 residents (31 total)
- Pedestrian fatalities from vehicle crashes: 4.33 per 100,000 residents (8 total)

Car accident scene with motor bike.

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30 / 50

#21. Springfield, Missouri

- Motor vehicle crash fatalities: 17.25 per 100,000 residents (29 total)
- Pedestrian fatalities from vehicle crashes: 3.57 per 100,000 residents (6 total)

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Traffic patrol vehicle sits in the middle of the road at a traffic accident investigation.

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31 / 50

#20. Palmdale, California

- Motor vehicle crash fatalities: 17.28 per 100,000 residents (26 total)
- Pedestrian fatalities from vehicle crashes: 3.99 per 100,000 residents (6 total)

Close-up of destroyed car with deployed air bags.

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32 / 50

#19. Kansas City, Missouri

- Motor vehicle crash fatalities: 17.70 per 100,000 residents (88 total)
- Pedestrian fatalities from vehicle crashes: 3.22 per 100,000 residents (16 total)

Firefighters and police officers extinguish a vehicle fire in the middle of the night.

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33 / 50

#18. Lancaster, California

- Motor vehicle crash fatalities: 17.97 per 100,000 residents (28 total)
- Pedestrian fatalities from vehicle crashes: 5.13 per 100,000 residents (8 total)

A view of an overturned truck on an highway.

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34 / 50

#17. Louisville-Jefferson County metro, Kentucky

- Motor vehicle crash fatalities: 18.27 per 100,000 residents (113 total)
- Pedestrian fatalities from vehicle crashes: 5.01 per 100,000 residents (31 total)

Car on fire at night with police lights in background.

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36 / 50

#15. Fort Lauderdale, Florida

- Motor vehicle crash fatalities: 18.45 per 100,000 residents (34 total)
- Pedestrian fatalities from vehicle crashes: 5.43 per 100,000 residents (10 total)

Inside a car with airbags and windshield cracks.

Kaentian Street // Shutterstock

37 / 50

#14. Albuquerque, New Mexico

- Motor vehicle crash fatalities: 18.67 per 100,000 residents (105 total)
- Pedestrian fatalities from vehicle crashes: 5.33 per 100,000 residents (30 total)

Aerial view of car accident between two vehicles.

Canva

38 / 50

#13. Macon-Bibb County, Georgia

- Motor vehicle crash fatalities: 18.99 per 100,000 residents (29 total)
- Pedestrian fatalities from vehicle crashes: 4.58 per 100,000 residents (7 total)

Damaged vehicle closeup after a car crash.

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39 / 50

#12. Glendale, Arizona

- Motor vehicle crash fatalities: 19.19 per 100,000 residents (49 total)
- Pedestrian fatalities from vehicle crashes: 5.88 per 100,000 residents (15 total)

Road cone against the background of a car crash.

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41 / 50

#10. Cleveland

- Motor vehicle crash fatalities: 19.81 per 100,000 residents (75 total)
- Pedestrian fatalities from vehicle crashes: 2.64 per 100,000 residents (10 total)

Police cars at night.

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42 / 50

#9. San Bernardino, California

- Motor vehicle crash fatalities: 20.69 per 100,000 residents (45 total)
- Pedestrian fatalities from vehicle crashes: 5.52 per 100,000 residents (12 total)

Car on its side after an accident.

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43 / 50

#8. Birmingham, Alabama

- Motor vehicle crash fatalities: 21.26 per 100,000 residents (44 total)
- Pedestrian fatalities from vehicle crashes: 4.35 per 100,000 residents (9 total)

Collision of a semi-truck and a passenger car on the highway.

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44 / 50

#7. Little Rock, Arkansas

- Motor vehicle crash fatalities: 21.73 per 100,000 residents (43 total)
- Pedestrian fatalities from vehicle crashes: 10.11 per 100,000 residents (20 total)

Crime scene tape in front of an accident.

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46 / 50

#5. Baton Rouge, Louisiana

- Motor vehicle crash fatalities: 26.48 per 100,000 residents (58 total)
- Pedestrian fatalities from vehicle crashes: 9.13 per 100,000 residents (20 total)

A white sedan after a collision with an electric pole.

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47 / 50

#4. St. Louis

- Motor vehicle crash fatalities: 27.21 per 100,000 residents (81 total)
- Pedestrian fatalities from vehicle crashes: 6.72 per 100,000 residents (20 total)

A truck after crashing into a pole.

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48 / 50

#3. Detroit

- Motor vehicle crash fatalities: 28.71 per 100,000 residents (191 total)
- Pedestrian fatalities from vehicle crashes: 6.16 per 100,000 residents (41 total)

Close-up of red light on police car.

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49 / 50

#2. Jackson, Mississippi

- Motor vehicle crash fatalities: 33.58 per 100,000 residents (53 total)
- Pedestrian fatalities from vehicle crashes: 9.50 per 100,000 residents (15 total)