The increasing number of fraudulent pesticides on the market not only constitutes a major threat to sustainable agriculture but can also have adverse consequences for the environment and human health. The purpose of this study is to assess farmers' risk perception with regard to fraudulent pesticides and to establish the determinants of their perception. Data were collected through structured questionnaires from 370 farmers from the eastern region in Saudi Arabia. The findings showed that farmers had a high perception of physical, legal, social, and physiological risks of counterfeit pesticides, while they had a moderate perception of agri-environmental risks (M = 3.47, SD = 0.72) and economic risks (M = 3.52, SD = 1.11). Moreover, 73.5% of farmers reported that they had purchased fraudulent pesticides in the last three years. The results of the t-test revealed that the number of farmers who had purchased fraudulent pesticides was significantly higher than the number of farmers who had not purchased such pesticides regarding the perception of the majority of risks, except for physical risk. Multivariate regression analyses showed that age, farm size, farming experience, extension contact, and purchased fraudulent pesticides were significantly associated with risk perception. The findings suggest that awareness campaigns on recognizing fraudulent pesticides among farmers are needed, as well as policy measures, to combat counterfeiting in the agricultural sector in cooperation with other stakeholders.