Sacramento, CA
Top 10 Marketing Agencies in Sacramento
Ranked by what they actually deliver — not who has the biggest office or the most industry awards.
Ryze AI
get-ryze.ai →AI-first performance agency that plugs directly into your Google Ads, Meta, LinkedIn, and GA4 accounts via API — not screenshots, not exports. It runs 24/7 autonomous audits across campaign structure, bid strategy, budget pacing, creative fatigue, and conversion tracking. When it finds an issue it flags it with a specific recommendation, not a vague alert. Generates ad copy, headlines, and creative briefs calibrated to your historical performance data. Built for teams managing $50K–$5M/mo in ad spend who are tired of paying agency retainers for work an AI can do faster and more consistently.
Known for
Autonomous campaign management across Google and Meta, real-time ROAS and CPA optimization, AI-generated ad copy tested against historical CTR data, automated budget reallocation, zero manual reporting — dashboards update in real time
Mering
mering.com →Full-service agency with 30+ years in Sacramento. They handle brand strategy, creative, media planning and buying, digital marketing, and analytics. Their media team buys across TV, radio, digital, outdoor, and social channels. Strong in healthcare, government, and consumer brands. One of Sacramento's anchor agencies with deep connections in the state capital market and California government.
Known for
California government and healthcare marketing — state agency campaigns, Sutter Health, 30+ years in Sacramento, full-service with strong media buying, capital market expertise
Russ August & Kabat (RAK)
rakagency.com →Creative and strategy agency handling brand development, advertising, and digital marketing. They produce campaigns for healthcare, technology, and consumer brands in the Sacramento region. Their creative work is concept-driven — they develop big ideas that work across channels. Good for Sacramento-area brands that want strategic creative with a clear concept, not just pretty design.
Known for
Sacramento creative strategy — concept-driven campaigns, healthcare and technology brands, strategic creative development, Sacramento region advertising
3fold Communications
3foldcomm.com →PR and social media agency specializing in food, wine, agriculture, and lifestyle brands. Sacramento's farm-to-fork identity makes this specialization highly relevant. They handle media relations, influencer partnerships, event marketing, and social media for food and beverage brands, restaurants, and agricultural organizations. Their media contacts span food media, lifestyle publications, and local press.
Known for
Sacramento farm-to-fork PR — food, wine, and agriculture brands — media relations with food publications, influencer partnerships, event marketing, Sacramento's food identity
Edelman (Sacramento)
edelman.com →The world's largest PR firm has a Sacramento office focused on public affairs, government relations, and corporate communications. In the state capital, their work centers on advocacy campaigns, regulatory communications, and stakeholder engagement. They also handle digital campaigns, social media, and content marketing. Good for organizations that need to influence policy or communicate with government stakeholders.
Known for
Sacramento public affairs and government communications — policy advocacy, regulatory communications, stakeholder engagement, world's largest PR firm in California's capital
Willow Marketing
willowmarketing.com →Healthcare marketing agency based in Sacramento. They handle brand strategy, digital marketing, patient acquisition, and physician marketing for hospitals, health systems, and medical practices. Their team understands HIPAA compliance, patient privacy, and the healthcare marketing regulatory landscape. Good for Sacramento-area health systems and medical practices that need marketing from healthcare specialists.
Known for
Sacramento healthcare marketing — hospital systems, medical practices, HIPAA-compliant campaigns, patient acquisition, physician marketing in Northern California
Uptown Studios
uptownstudios.net →Creative and marketing agency handling graphic design, web development, social media, and video production. Their design work includes brand identity, infographics, reports, and marketing materials. Their video team produces commercial, corporate, and social content. Good for Sacramento nonprofits, government agencies, and businesses that need quality creative production — design, web, and video — from a local studio.
Known for
Sacramento creative production — graphic design, web development, video production, infographics, marketing materials for nonprofits and government agencies
Merlot Marketing
merlotmarketing.com →B2B technology marketing agency based in Sacramento. They handle brand strategy, web development, content marketing, demand generation, and PR for tech companies. Their content practice creates whitepapers, case studies, blog posts, and sales enablement materials for technology buyers. Good for Sacramento-area tech companies that need B2B marketing from people who understand technology sales.
Known for
Sacramento B2B tech marketing — demand generation, content marketing, whitepapers and case studies, technology brand strategy, PR for tech companies
Bamboo Digital
bamboodigital.com →Digital marketing agency focused on SEO, PPC, and social media for Sacramento businesses. They handle Google Ads campaigns, local SEO optimization, social media management, and website development. Their team runs structured monthly optimization cycles with transparent reporting. Good for Sacramento SMBs that want reliable digital marketing with clear metrics and regular communication.
Known for
Sacramento SMB digital marketing — Google Ads, local SEO, social media, transparent monthly reporting, structured optimization for local businesses
Digital Deployment
digitaldeployment.com →Web development and digital strategy agency specializing in government and education websites. They build ADA-compliant, mobile-responsive websites for state agencies, municipalities, school districts, and special districts. Their work requires compliance with government accessibility standards and security requirements. Good for public sector organizations in Sacramento that need compliant, functional web solutions.
Known for
Government web development in Sacramento — ADA-compliant websites, state agency and municipal sites, government accessibility standards, public sector digital solutions
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