| SACH | a chief of a North American tribe or confederation (especially an Algonquian chief) |
|---|---|
| SACH | a political leader (especially of Tammany Hall) |
| SACH | a small soft bag containing perfumed powder |
| SACH | a hereditary disorder of lipid metabolism occuring most frequently in individuals of eastern European Jewish descent |
| SACH | an area in Germany around the upper Elbe river |