Human-introduced predators, primarily the domestic dog (Canis lupus familiaris), and human-modified landscapes conjointly threaten wildlife across Costa Rica. For arboreal species, including the two-fingered sloth (Choloepus hoffmani), the impact of domestic dogs is amplified in areas of habitat fragmentation. In efforts to navigate discontinuous canopies associated with urban development and human encroachment, C. hoffmani is forced to utilize terrestrial locomotion. This unnatural behavior leaves sloths increasingly vulnerable to predation by domestic dogs, which occupy altered landscapes in high densities. In this report, we detail the ante and postmortem findings associated with C. hoffmani following an extensive attack by three large-breed dogs. The patient sustained severe and fatal polytraumatic injuries targeting the abdominothoracic region. Gross lesions were not readily evident, obscured by unique anatomical characteristics of the species. This report aims to highlight the threat imposed by dogs to sloths and the severity of injuries, with considerations for clinical management in light of C. hoffmani morphology. We review the scope of domestic dog–wildlife conflict in Costa Rica, and propose collaborative mitigation strategies including habitat preservation, domestic dog population control, installation of wildlife corridors, policy initiatives, and dog owner education and public outreach.