| Rank | Name | Image | Height | Height | Floors | Built | Use |
| 1 | 6 & 8 Parramatta Square | | 225 | 740 | 57 | 2022 | Office |
| 2 | 8 Phillip Street | | 218 | 715 | 66 | 2025 | Residential |
| 3 | 180 George Street - North Tower | | 213 | 699 | 67 | 2023 | Residential |
| 4 | 180 George Street - South Tower | | 189 | 620 | 59 | 2023 | Mixed use |
| 5 | Altitude West Tower | | 177 | 581 | 55 | 2017 | Mixed use |
| =6 | 4 Parramatta Square | | 158 | 518 | 34 | 2020 | Office |
| =6 | Paramount on Parkes | | 158 | 518 | 47 | 2024 | Residential |
| 8 | 116 Macquarie Street | | 156 | 511 | 48 | 2025 | Residential |
| 8 | The Lennox | | 149 | 488 | 46 | 2021 | Residential |
| 9 | Skyrise | | 138 | 451 | 43 | 2018 | Residential |
| 10 | West Village | | 129 | 423 | 39 | 2019 | Residential |
| 11 | Altitude East Tower | | 127 | 417 | 39 | 2016 | Residential |
| 12 | 32 Smith Street | | 114 | 374 | 28 | 2020 | Office |
| 13 | V by Crown | | 103 | 338 | 29 | 2016 | Residential |
| 14 | Rise | | 92 | 302 | 28 | 2016 | Mixed use |
| 15 | B1 Tower | | 90 | 295 | 28 | 2013 | Residential |
| 16 | Eclipse | | 89 | 292 | 21 | 2012 | Office |
| 17 | Escen on Church | | 87 | 285 | 25 | 2006 | Residential |
| 18 | Commonwealth Centre | | 85 | 279 | 21 | 1983 | Office |
| 19 | 3 Parramatta Square | | 84 | 276 | 17 | 2020 | Office |
| 20 | Highline Lot 5 | | 83 | 272 | 24 | 2020 | Residential |
| 21 | Colonial Tower | | 83 | 272 | 21 | 1992 | Office |
| 22 | Engineering Innovation Hub | | 82 | 269 | 19 | 2021 | Mixed use |
| 23 | Sydney Water HQ | | 76 | 249 | 17 | 2009 | Office |
| =24 | The Galleria | | 72 | 236 | 22 | 2019 | Residential |
| =24 | Horizon Tower A | | 72 | 236 | 23 | 2021 | Residential |
| =24 | Horizon Tower B | | 72 | 236 | 23 | 2021 | Residential |