Given how important lakes are to people, it might seem safe to assume that careful thought has been put into the naming of lakes, and that lake names reflect the high societal value people place on lakes. We examined these assumptions by analyzing the official names in the U.S. Geographic Names Information System for the 479,950 lakes ≥ 1 ha in the conterminous U.S. We found that 83% of lakes were unnamed and most of these were small lakes with 80% of unnamed lakes being smaller than 4 ha. Based on the 83,115 named lakes, we found that lake names reflect peoples' everyday lives, that lakes can inspire creativity (although the most common lake name is “Mud”), that Native American and indigenous languages have played a role in lake naming, and that there are regional differences in lake names. Unfortunately, we also found that derogatory terms were part of some lake names. We advocate for thoughtful and inclusive official naming of the 400,000 unnamed lakes in the U.S., as well as renaming of the lakes with derogatory terms to help focus attention on the importance of lakes to local communities and nations.