Grech (/ˈɡrɛk/) is a surname of Maltese origin. Notable people with the surname include:
- Amanda Spiteri Grech, Maltese politician
 - Joe Grech (born 1934), Maltese singer
 - Joe Debono Grech (born 1939), Maltese politician
 - Joseph Grech (1948–2010), Maltese bishop of Sandhurst
 - Karin Grech (1962–1977), Maltese murder victim
 - Leandro Grech (born 1980), Maltese football player
 - Lino Grech (1930−2013), Maltese actor, writer and director
 - Louis Grech (born 1947), Maltese politician
 - Mario Grech (born 1947), Maltese bishop, cardinal and Vatican official
 - Martin Grech (born 1982), English musician
 - Prosper Grech (1925–2019), Maltese Roman Catholic bishop and cardinal
 - Ric Grech (1946–1990), English bassist
 
See also
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