| # | Building | City | Floors | Height | Year | |
|---|---|---|---|---|---|---|
| 1 | Silver Legacy Resort & Casino | Reno | 38 | 410 ft | 1995 | |
| 2 | Grand Sierra Resort & Casino | Reno | 27 | 353 ft | 1978 | |
| 3 | Harrah's Reno - West Tower | Reno | 24 | 324 ft | 1969 | |
| 4 | Atlantis Luxury Tower | Reno | 27 | 320 ft | 1999 | |
| 5 | Circus Circus Sky Tower | Reno | 28 | 278 ft | 1978 | |
| 6 | Harrah's Reno - East Tower | Reno | 26 | 272 ft | 1995 | |
| 7 | Eldorado Hotel Casino | Reno | 26 | 270 ft | 1973 | |
| 8 | Circus Circus Casino Tower | Reno | 21 | 225 ft | 1981 | |
| 9 | Peppermill Main Tower | Reno | 17 | 171 ft | 1979 | |
| 10 | The Montage | Reno | 24 | ≈284 ft | 1978 | |
| 11 | Arlington Towers | Reno | 22 | ≈260 ft | 1968 | |
| 12 | The Belvedere South Tower | Reno | 20 | ≈237 ft | 1980 | |
| 13 | Atlantis Atrium Tower | Reno | 18 | ≈213 ft | 1994 | |
| 14 | Peppermill Tuscany Tower | Reno | 17 | ≈201 ft | 2007 | |
| 15 | Sands Regency Hotel - West Tower | Reno | 17 | ≈201 ft | 1979 | |
| 16 | Plaza Resort Club | Reno | 17 | ≈201 ft | 1967 | |
| 17 | Park Tower Condominiums | Reno | 17 | ≈201 ft | 1962 | |
| 18 | Whitney Peak Hotel | Reno | 16 | ≈189 ft | 1976 | |
| 19 | Reno City Hall | Reno | 16 | ≈189 ft | 1963 | |
| 20 | Club Cal Neva - Nevadan Hotel | Reno | 16 | ≈189 ft | 1977 | |