Most dangerous cities to drive in Pennsylvania

Pennsylvania is the #44 state for fatal car accidents in America, experiencing 0.8 fatal crashes per 10,000 residents in 2022. Overall, 1,179 people died in Pennsylvania car accidents that year.

Watch Out: Pennsylvania Cities With the Highest Crash Rates

Truck Parking Club used data from the National Highway Traffic Safety Administration to rank the cities in Pennsylvania with the highest accident rates as part of a larger national analysis. Rankings are based on the rate of accidents per 10,000 residents in 2022. Ties were broken by the total number of fatal accidents, though some ties may remain. Only cities with at least 10 fatal crashes and 20,000 residents were included in the analysis. Cities without available Census Bureau population estimates were not included.

More than 42,000 Americans died in car crashes in 2022, making these accidents a leading cause of death in the U.S. These deaths occurred during over 39,000 crashes that year—about one crash per 10,000 U.S. residents, according to National Highway Traffic Safety Administration tallies. But in some cities, the roads are more deadly than in others.

The Most Risky Places to Drive in Pennsylvania

Fatal car crash rates fell for several decades as federal and state governments adopted safety regulations for vehicle manufacturers and occupants. But rates went up in 2020 and 2021, with increases in fatalities related to alcohol and speeding. When COVID-19 restrictions decreased the number of cars on the road, many drivers adopted risky driving behaviors that have persisted even as traffic returned to normal. While fatalities decreased in 2022, they remain higher than they've been in over a decade.

Nationally, nearly all of the top 25 cities for fatal crashes were in the Southeast. Most were smaller cities: Over half had populations of fewer than 50,000, while only three had more than 100,000 residents. They also tended to be far from major cities. Geographic hazards exist in most, including hilly terrain, winding rivers, and dense forests. Nearly all of the top cities have some type of waterfront—rivers, lakes, coasts, and the like—which may pose distractions for drivers taking in the view.

Read on to see the cities in Pennsylvania that were affected most by fatal car crashes.