Paul Koch may refer to:
Paul Koch (cyclist) (1897–1959), German cyclist Paul Koch (footballer) (born 1966), Luxembourg footballer Paul Koch (runner) (born ?), American runner in the 2006 World Long Distance Mountain Running Challenge
See also Paulie Koch (born 1996), American wakeboarder Paul Koech (1969–2018), Kenyan distance and marathon runner Paul Kipsiele Koech (born 1981), Kenyan runner