Based on the most recent comprehensive data up to 2023 places Los Angeles, California, at or near the top of this unfortunate list. Other cities like Houston, Texas and Phoenix, Arizona also report high numbers of fatal car accidents. These cities share several characteristics including extensive freeway systems, a high volume of vehicle traffic, and a mix of urban and suburban layouts that can complicate navigation and safety.
Factors contributing to this high rate include high-speed driving, impaired or distracted driving, and intersections that are notorious for being accident-prone.