Cacho may refer to:
Dice Games
- Cacho Alalay, a South American dice game popular in Bolivia
- Dudo, a South American dice game popular in Chile, also known as Pico or Perudo
Geology
- Cacho Formation, a geological formation in the Colombian Andes
People
- Cacho (footballer, born 2002), Spanish football winger
- Christian Giménez (footballer, born 1981), Argentine-Mexican former footballer nicknamed Cacho