Velký Vřešťov is a market town in Trutnov District in the Hradec Králové Region of the Czech Republic.

Velký Vřešťov is located about 17 kilometres (11 mi) north of Hradec Králové.

It lies mostly in the Jičín Uplands, but the eastern part of the municipal territory extends into the East Elbe Table.

The main landmark of Velký Vřešťov is the Church of All Saints.

Originally a Gothic church, it was rebuilt in the Baroque style in 1723, after it was damaged by the 1720 fire.