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Fishing provides livelihoods and food for millions of people in the Global South yet inland fisheries are under-researched and neglected in food and nutrition policy. This paper goes beyond the rural focus of existing research and examines how urban households may use fishing as a livelihood strategy for coping with food insecurity. Our study in Brazilian Amazonia is based on a random sample of households (n = 798) in four remote riverine towns. We quantitatively examine the inter-connections between fishing and food insecurity, and find that fishing is a widespread coping strategy among disadvantaged, food insecure households. Fisher households tend to be highly dependent on eating fish, and for these households, consuming fish more often is associated with a modest reduction in food insecurity risks. Fishing provides monthly non-monetary income worth ≤ USD54 (equivalent to ∼12% of mean …