While endocrine disruptors are emerging as a cause of nonalcoholic fatty liver disease (NAFLD), little is known about the link between NAFLD and organochlorine pesticides (OCPs), one of the endocrine disruptors. We retrospectively analyzed the National Health and Nutrition Examination Survey 2003–2004 conducted in the United States. Outcomes were differences in baseline demographics in participants with or without NAFLD, adjusted odds ratios for fatty liver index (FLI) ≥ 60 according to OCP concentration, correlation between OCP exposure and each variable constituting FLI, comparison of liver enzyme levels by OCP substance, and the association between OCP exposure and hepatic fibrosis. Of the 1512 participants, 579 had FLI ≥ 60 and were deemed to have NAFLD. After adjusted logistic regression, oxychlordane showed a higher risk of NAFLD with increasing serum concentrations. p,p’-DDE and trans-nonachlor were not significantly correlated with NAFLD; for mirex, the highest prevalence of NAFLD was observed in the lowest concentration quartile. Among the OCPs, oxychlordane showed the most pronounced association with the levels of each component of FLI and liver enzymes. None of the OCPs were significantly associated with hepatic fibrosis. In conclusion, among various OCPs, exposure to oxychlordane was significantly associated with the presence of NAFLD.