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