Currently, the metals of Rare Earth Elements (REEs) have become very critical to various modern technologies ranging from cell phones and televisions to LED light bulbs and wind turbines. This work was carried out as the Pakistani contribution to the National-scale Geochemical Survey of South and Central Asia (NGSSCA) project. The objective of this study was to document and study the amounts and distribution of REEs in stream sediment of Pakistan, where such national-scale geochemical mapping was launched for the first time. A total of 4277 regular and 168 duplicate samples were collected, encompassing approximately 360,000 km2 of Pakistani outcrop regions. The findings from the geochemical analysis of stream sediment in Pakistan revealed a spectrum in the total Rare Earth Elements (ΣREE) concentration, spanning from 10.22 mg/kg to 1403.1 mg/kg, averaging at 132.5 mg/kg. LREEs are relatively enriched compared to HREEs with an average of LREEs/HREEs of 3.08. The distribution patterns of REEs in stream sediment are demonstrated. It's has been concluded that high concentrations of REEs are mainly distributed in the Himalayan fold and thrust belt, the Karakoram terrane and the Kohistan island arc in the northern part of Pakistan. The bedrock mineralogy and lithology significantly affect the distribution patterns of REEs in stream sediments. The national geochemical mapping of Pakistan provides a useful method for locating alkaline igneous rocks and identifying potential REE mineralization.