The Karoo region of South Africa, which includes the Succulent and Nama Karoo biomes, supports a unique avian fauna, with ten bird species occurring exclusively in this arid-zone region and many others exhibiting a strong preference for this habitat. To better determine the conservation status of these birds, we conducted point counts to estimate population densities of bird species occurring in the South African Karoo region in 2017 and 2018. We also used data of the South African Bird Atlas Projects (SABAP2) to estimate the species’ ranges and to determine population trends. Although the population densities are naturally low for most species, their ranges are very large, and reporting-rate trends appear stable for most species. Our analysis reveals that none of the Karoo bird species are currently of serious conservation concern. However, the Red Lark Calendulauda burra and Sclater’s Lark Spizocorys sclateri should be considered regionally Near Threatened as they are habitat specialists with inferred declining populations and are not currently protected within any designated conservation areas. Given the rapid transformation of landscapes linked to mining and alternative energy developments currently underway in the Karoo, combined with the poor representation of bird species in protected areas, it is imperative that special attention be paid to the conservation of bird species endemic to the Karoo, and that appropriate mitigation measures be taken by developers.