Background This research explores rat meat consumption patterns among urban Ghanaians and their perception of risks associated with urban rats. Two hypotheses on risk perception among urban inhabitants were proposed: the risk of contracting diseases by consuming rat meat and the risk of contracting diseases from peridomestic rats. Method/Principal findings To achieve the objective, a descriptive cross-sectional survey using a questionnaire was conducted that recruited participants from urban settings in Ghana. Of the 829 respondents recruited, around 65% consumed rodents, and of these, 35% consumes rat meat. Through statistical analyses, our data revealed gender, age, region, religion, ethnicity, education, profession and income significantly influenced rat meat consumption and resident's perception of disease risk. An adjusted multivariable model identified males aged 27 to 34years with no formal or a basic education in southern Ghana as the most likely rat meat consumers. The majority of the participants (60.3%) indicated rats are often present in homes and community drains, and have some awareness where rats can be found in their place of residence. Low perception scores regarding disease risks associated with rat meat consumption were recorded, with the majority of respondents (55-74.9% of 829) perceiving that there were minimal disease threats associated with peridomestic rats. The outcome of this belief was that participants undertook limited rat control in their neighborhood. Conclusion/Significance The poor perceptions of disease risks regarding rats increases the vulnerabilities of urban Ghanaians to zoonotic spillovers. This underscores the critical need for public education on rat-borne zoonoses in urban Ghana. This survey presents the first baseline study on urban inhabitant's interactions with rats in Ghana and the data will be crucial in the on-going interventions by the Ghana Health Service to minimize transmission of Lassa fever and other rodent-borne diseases and the spread of rodent related drug resistant pathogens.