Pico Agudo (Portuguese for "acute peak") may refer to:
Azores , a peak near the village of Agualva on Terceira Island , a peak near the village of Santa Bárbara on Terceira Island
Brazil Pico Agudo (Ibaiti), a peak in the municipality of Ibaiti, state of Paraná , a peak in the municipality of Santo Antônio do Pinhal, state of São Paulo Pico Agudo (Sapopema), a peak in the municipality of Sapopema, state of Paraná
Cape Verde Pico Agudo (São Nicolau), a village in the municipality of Ribeira Brava, São Nicolau