Research demonstrates substantial urban consumption of wildmeat and the existence of trade networks in the Brazilian Amazon. Yet rural–urban mobility persists in this urbanized region, with the circulation of people, goods and ideas, blurring boundaries between rural and urban lives. Here we examined the relationships between rural–urban mobility and wildmeat access in highly forested areas of central Brazilian Amazonia. We surveyed 798 urban households in four towns and 311 rural households in 63 riverine communities. Rural–urban mobility was common amongst urban households: 49.7% maintained rural livelihoods and 57.3% were headed by rural in-migrants. Although many urban consumers purchased wildmeat, gifting was equally important. Urban households with greater rural–urban mobility consumed more wildmeat and were less likely to purchase it. Buying wildmeat was rare in rural areas but emergent in larger rural communities. Rural consumption was greater in remote areas, non-floodplain communities and during the high-water season. Urban populations placed particular pressure on three preferred species: the lowland paca Cuniculus paca, tapir Tapirus terrestris and white-lipped peccary Tayassu pecari. Rural consumption was more diverse, and per-capita wildmeat consumption was four times greater in rural than urban households (21 vs 5 kg/person/year). Total estimated annual wildmeat consumption was 3,732 t across 43 riverine urban centres compared to 11,351 t in surrounding rural areas. Because of poverty in these towns and socially mediated wildmeat acquisition, it is debatable whether urban consumers should or could be denied access to wildmeat. Nonetheless, the probable future increase in urban demand and related risks to sustainable, equitable resource use necessitate the monitoring and management of rural–urban wildmeat flows.