Napier Hill, Limestone outcrop in Napier, New Zealand

Napier Hill is a limestone outcrop and suburb above Napier's lowland districts, known in Māori as Mataruahou. Its north-east end, Bluff Hill, has a steep cliff face over the Port of Napier and holds Napier Girls' High School and the former Napier Prison. The western end, Hospital Hill, was the site of Napier Hospital until its demolition in 2015; the land was bought by the city council in December 2020 for a new reservoir.

Before the 1931 earthquake, this landform existed as an island called Scinde Island, named after the Sindh region of India and surrounded by water. The earthquake dramatically reshaped the geography and joined the island to the mainland.

The Māori name Mataruahou belongs to the hill itself, while Scinde Island recalls the Sindh province of British India, now Pakistan; the Napier football club Scindians took its name from it. Three schools occupy the slopes: Napier Central School, opened in 1879 as Main School and rebuilt within months after the 1931 earthquake; Napier Girls' High School, opened in 1884; and Sacred Heart College, opened in 1867.

The hill is accessible via various paths and stairs that lead through residential areas. Sturdy footwear is advisable as some sections are steep, and the upper areas offer the best views of the surrounding landscape.

The Napier Botanical Gardens located on the hill were established in the 1860s and were the city's first public park. Visitors often overlook this quiet garden space tucked within the residential slopes.