Biological sex impacts cardiovascular disease and other metabolic conditions that increase disease risk, including obesity. Physiological sex differences are determined by two components of sex: gonadal hormones and sex chromosome complement. Using mouse models to dissociate gonadal sex from chromosomal sex, we have identified sex chromosome-dependent regulation of circulating lipoproteins, atherosclerosis, and adiposity. Specifically for adiposity, mice with two X chromosomes had higher body weight gain compared to mice with XY sex chromosomes in the presence of ovaries or testes. In cells with XX chromosome complement, specific X chromosome genes escape X inactivation, which leads to higher expression in XX (female) compared to XY (male) tissues. We identified an X escape gene, Kdm6a , that encodes a histone demethylase enzyme and impacts adiposity by altering the function of mature adipocytes. Mice with mature adipocyte-specific Kdm6a reduction (Ad- Kdm6a -/- ) had lower body weight and adiposity compared to wildtype females. The white adipose triglyceride pool was altered with higher unsaturated and long chain fatty acids in Ad- Kdm6a -/- mice compared to wildtype mice. Furthermore, siRNA knockdown of Kdm6a in cultured adipocytes altered lipid metabolism with reduced lipid droplet size. Given that KDM6A is a histone demethylase, we assessed the Kdm6a dosage effect on adipocyte gene expression and histone modifications across the genome. Differential gene expression associated with lipid homeostasis was identified in Ad- Kdm6a -/- mice and in cultured adipocytes with Kdm6a knockdown compared to controls. KDM6A genomic targets and resultant histone modifications were identified in cultured adipocytes using CUT&RUN. We conclude that differential gene dosage of Kdm6a between female and male tissues is a determinant of adipose sex differences through modulation of histone modifications and gene expression. This leads to effects on adipocyte lipid composition and tissue mass, which impacts susceptibility to obesity and metabolic disease.