Boat racing is an age-old tradition of the province. It is held on the Mekong River at the end of the Buddhist Lent every year in November. Numerous small, medium and large boats compete over a distance of 3 kilometres. All boats are made from a single tree trunk. Boats from Laos also take part. There is also a prize for the most beautiful boat.

Ruam Phao Thai Mukdahan and Makham Wan Chai Khong Fair is organized to promote the province’s products and tourism industry every January 9-15 in front of the provincial hall. Activities include a procession using hundreds of people wearing ethnic tribal costumes of groups like Phu Thai, So, Yo, Kha, Kaloeng, and Kula; a sweet tamarind contest; the Thida Phao Thai pageant; shops selling products; and local performances.