Oto is a city in Woodbury County, Iowa, United States.
It is part of the Sioux City, IA–NE–SD Metropolitan Statistical Area.
According to the United States Census Bureau, the city has a total area of 0.27 square miles (0.70 km2), all land.
There were 44 housing units at an average density of 163.6 per square mile (63.2/km2).
There were 60 housing units at an average density of 222.2 per square mile (85.8/km2).
39.1% of all households were made up of individuals, and 26.1% had someone living alone who was 65 years of age or older.
The racial makeup of the city was 96.55% White, 2.76% Native American, and 0.69% from two or more races.
24.1% of all households were made up of individuals, and 14.8% had someone living alone who was 65 years of age or older.
There were 11.1% of families and 21.3% of the population living below the poverty line, including 23.6% of under eighteens and none of those over 64.