This article delves into the ramifications of Madheshi Dalit Women’s (MDWs) access to citizenship on their strategies for livelihood. Within the context of Nepal, the discourse surrounding citizenship often portrays the MDWs as immigrants or insufficiently authentic citizens. This perception is rooted in historical social hierarchies that have systematically marginalized individuals possessing multiple subordinate identities, such as Madheshis, Dalits, women and the landless. Remarkably, the MDWs embody all of these identities. The prevailing narrative of a hill-based national identity endorsed by the state has prompted inquiries into the loyalty of the MDWs to the nation, consequently undermining their rightful citizenship claims. Drawing upon qualitative field research conducted in Nepal’s central and eastern Tarai districts, where a significant population of Madheshi Dalits resides, this study investigates the intricate interplay between access to citizenship and its implications for livelihood strategies and survival challenges: land ownership and labour participation. The findings underscore the considerable challenges faced by the MDWs, including limited livelihood options, acute landlessness and unorganized wage labour.