Flood disaster has gained global attention due to the huge impact it has on human lives, economies, and sustainable environments. Flood disaster preparedness, which can significantly be influenced by disaster risk perception, has been highlighted as an effective way to manage flood disaster risk, as many other means have proved futile, yet no study has attempted using multiple dimensions to analyze this relationship in Ghana. Therefore, this study, using a survey of 369 households in the most flood-prone region, Accra Metropolis, analyzed the influence of flood disaster risk perception on urban households’ flood disaster preparedness. Based on the Protective Action Decision Model, the empirical models were constructed and estimated using the Tobit and binary logistic regression models. The results show that the majority of households (60.16%) were unprepared for flood disasters, and the perception of flood disaster risk and the sustainability risk posed by floods significantly affect flood disaster preparedness behaviours of households in a positive direction. The total number of flood disaster preparedness behaviours adopted was significantly related to probability, the threat to lives, sense of worry, and sustainability risk perceptions. Finally, income, education, and house ownership, among other household and individual characteristics, had significant positive effects on preparations for flood disasters. These findings suggest that effective policies to mitigate flood disasters must incorporate risk communication to boost households’ flood disaster preparedness.