Highest Major Cities in Guatemala
Cities in Guatemala with more than 15,000 inhabitants, ranked by elevation above sea level (GeoNames digital elevation model).
1San Francisco El Alto57,894 people · Totonicapán
2,642 m
2Cabricán23,033 people · Quetzaltenango
2,617 m
3Ostuncalco51,828 people · Quetzaltenango
2,506 m
4Totonicapán103,952 people · Totonicapán
2,499 m
5Nahualá27,690 people · Sololá
2,467 m
6La Esperanza16,461 people · Quetzaltenango
2,465 m
7San Andrés Xecul15,074 people · Totonicapán
2,437 m
8San Marcos47,063 people · San Marcos
2,380 m
9Cantel42,142 people · Quetzaltenango
2,364 m
10Quetzaltenango180,706 people · Quetzaltenango
2,351 m
11Salcajá19,434 people · Quetzaltenango
2,322 m
12San Pedro Sacatepéquez40,021 people · San Marcos
2,321 m
13Tecpán Guatemala34,519 people · Chimaltenango
2,292 m
14Comitancillo59,489 people · San Marcos
2,271 m
15Soloma49,030 people · Huehuetenango
2,270 m
16Patzún58,240 people · Chimaltenango
2,229 m
17Momostenango31,739 people · Totonicapán
2,215 m
18Patzicía21,249 people · Chimaltenango
2,129 m
19Comalapa32,312 people · Chimaltenango
2,115 m
20San Lucas Sacatepéquez20,723 people · Sacatepéquez
2,082 m
21Chichicastenango141,567 people · Quiché
2,077 m
22Santa María de Jesús21,795 people · Sacatepéquez
2,063 m
23Zaragoza24,022 people · Chimaltenango
2,062 m
24Sololá45,373 people · Sololá
2,044 m
25Santiago Sacatepéquez29,238 people · Sacatepéquez
2,033 m
26Santa Cruz del Quiché78,279 people · Quiché
1,979 m
27Nebaj23,301 people · Quiché
1,909 m
28Huehuetenango79,426 people · Huehuetenango
1,907 m
29Sumpango28,488 people · Sacatepéquez
1,900 m
30San Andrés Itzapa24,992 people · Chimaltenango
1,842 m
31San Juan Sacatepéquez136,886 people · Guatemala
1,842 m
32Chimaltenango96,985 people · Chimaltenango
1,795 m
33El Tejar15,639 people · Chimaltenango
1,766 m
34San José Pinula79,844 people · Guatemala
1,752 m
35Mixco465,773 people · Guatemala
1,726 m
36Fraijanes58,922 people · Guatemala
1,641 m
37Santiago Atitlán33,309 people · Sololá
1,603 m
38Antigua Guatemala46,054 people · Sacatepéquez
1,583 m
39Jocotenango17,918 people · Sacatepéquez
1,542 m
40Santa Catarina Pinula80,582 people · Guatemala
1,538 m
41Ciudad Vieja33,405 people · Sacatepéquez
1,529 m
42Guatemala City994,938 people · Guatemala
1,508 m
43Jacaltenango37,171 people · Huehuetenango
1,459 m
44Alotenango23,986 people · Sacatepéquez
1,405 m
45San Cristóbal Verapaz19,664 people · Alta Verapaz
1,395 m
46Yepocapa34,948 people · Chimaltenango
1,394 m
47Palencia18,574 people · Guatemala
1,368 m
48Jalapa159,840 people · Jalapa
1,360 m
49Villa Nueva618,397 people · Guatemala
1,331 m
50Cobán212,047 people · Alta Verapaz
1,326 m
Highlights
Within Guatemala, San Francisco El Alto ranks first in 2026 with 2,642 m, followed by Cabricán (2,617 m) and Ostuncalco (2,506 m).
The top two are virtually level: San Francisco El Alto and Cabricán differ by less than 1%.
Across 50 entries, values run from 2,642 m (San Francisco El Alto) to 1,326 m (Cobán), with a median of 2,006 m.
Source: GeoNames, cities with more than 15,000 inhabitants, 2026. Unit: metres.