Sacramento – a Spanish- and Portuguese-language word meaning "sacrament" – is a common toponym in parts of the world where those tongues were or are spoken.

Probably the most familiar of these to English speakers is the city of Sacramento, California, USA. Other towns, cities, and geographical features that use the name are listed below:

• Brazil
  • Sacramento , Minas Gerais
• Mexico
  • Sacramento , Chihuahua
  • Sacramento, Coahuila
• United States
  • Sacramento, California
  • Sacramento , Colorado
  • Sacramento , Illinois
  • Sacramento, Kentucky
  • Sacramento , Nebraska
  • Sacramento , New Mexico
  • Sacramento , Pennsylvania
• Geographical features
  • Sacramento River, California, United States