List of tallest buildings in Fresno
This list of tallest buildings in Fresno ranks buildings in Fresno, California, United States by height. The tallest building in Fresno is the 9-story, Robert E. Coyle United States Courthouse.
Tallest buildings
| Rank | Name | Height feet / m | Floors | Year | Image | Notes |
| 1 | Robert E. Coyle United States Courthouse | 225 / 69 | 9 | 2005 | Tallest building in Fresno. Tallest building completed in the 2000s. | |
| 2 | Fresno Pacific Towers | 219 / 67 | 15 | 1925 | Historically called the Pacific Southwest Building and the Security Bank Building. Tallest building between Oakland and Los Angeles from 1923 to 1963. | |
| 3 | Golden State County Plaza | 216 / 66 | 21 | 1964 | Historically called the Del Webb Building. Tallest building between Oakland and Los Angeles from 1963 to 1971. | |
| 4 | The Grand 1401 | 173 / 53 | 11 | 1923 | Historically called the San Joaquin Light and Power Building, the PG&E Building, and the International Trade Center. | |
| 5 | Tower at Convention Center Court | 160 / 49 | 11 | 2003 | ||
| 6 | Mattei Building | 150 / 46 | 12 | 1921 | Historically called the Guarantee Savings Building. | |
| 7 | Hotel Californian | 137 / 42 | 9 | 1923 | ||
| 8 | Helm Building | 124 / 38 | 10 | 1914 | ||
| 9 | Bank of Italy | 124 / 38 | 8 | 1918 | ||
| 10 | Community Regional Medical Center | 121 / 37 | 10 | 1972 | - |