| Rank | Name | Province | Pop. | Rank | Name | Province | Pop. | ||
|---|---|---|---|---|---|---|---|---|---|
 Kathmandu  Pokhara |
1 | Kathmandu | Bagmati | 845,767 | 11 | Janakpur | Madhesh | 195,438 |  Bharatpur  Lalitpur |
| 2 | Pokhara | Gandaki | 518,452 | 12 | Butwal | Lumbini | 195,054 | ||
| 3 | Bharatpur | Bagmati | 369,377 | 13 | Tulsipur | Lumbini | 180,734 | ||
| 4 | Lalitpur | Bagmati | 299,843 | 14 | Budhanilkantha | Bagmati | 179,688 | ||
| 5 | Birgunj | Madhesh | 268,273 | 15 | Dharan | Koshi | 173,096 | ||
| 6 | Biratnagar | Koshi | 244,750 | 16 | Nepalgunj | Lumbini | 166,258 | ||
| 7 | Dhangadhi | Sudurpashchim | 204,788 | 17 | Birendranagar | Karnali | 154,886 | ||
| 8 | Ghorahi | Lumbini | 201,079 | 18 | Tarakeshwar | Bagmati | 151,508 | ||
| 9 | Itahari | Koshi | 198,098 | 19 | Gokarneshwar | Bagmati | 151,200 | ||
| 10 | Hetauda | Bagmati | 195,951 | 20 | Tilottama | Lumbini | 149,657 | ||
