Particle-in-cell, direct simulation Monte Carlo simulations reveal that ion-acoustic instabilities excited in presheaths can cause significant ion heating. Ion-acoustic instabilities are excited by the ion flow toward a sheath when the neutral gas pressure is small enough and the electron temperature is large enough. A series of 1D simulations were conducted in which neutral plasma (electrons and ions) was uniformly sourced with an ion temperature of 0.026 eV and different electron temperatures (0.1 eV–50 eV). Ion heating was observed when the electron-to-ion temperature ratio exceeded the minimum value predicted by linear response theory to excite ion-acoustic instabilities at the sheath edge (Te/Ti≈28). When this threshold was exceeded, the temperature equilibration rate between ions and electrons rapidly increased near the sheath so that the local temperature ratio did not significantly exceed the threshold for instability. This resulted in significant ion heating near the sheath edge, which also extended back into the bulk plasma; presumably due to wave reflection from the sheath. This ion-acoustic wave heating mechanism was found to decrease for higher neutral pressures, where ion-neutral collisions damp the ion-acoustic waves and ion heating is instead dominated by inelastic collisions in the presheath.