Little is known about the spatial patterns of household water insecurity and their implications for community water interventions. This study analyzes location data of 250 households surveyed in Arua, Uganda, in August-September 2017 to evaluate correlates and geospatial clustering of household water insecurity. The spatial cluster analysis identified clusters or outliers in every community, though with different spatial patterns. Household water insecurity was positively associated with food insecurity, round-trip fetching time, and water-related conflict within households and with neighbors. The observed spatial heterogeneity provides a new view of how household water insecurity experiences may vary in space and time.