Crime impacts residential neighborhoods not only through the loss of life and property but also by instilling a widespread fear among residents. To combat this fear, physical security measures like safety locks, gates, and high perimeter walls have proven effective in both developed and developing nations. This trend has led to the increased popularity of gated communities in Pakistan as a preferred housing choice. In addition to encouraging micro-segregation, these developments also attract a large number of residents. In order to better understand the differences in residents’ fear of crime in relation to their health and socio-economic status, this paper compares residential housing schemes in Quetta, Pakistan (gated and non-gated). Surveys and on-site observations in four different residential areas of the city underpin the methodology. The results suggest that past experiences of crime victimization strongly affect feelings of safety in both gated and non-gated communities. The study highlights the complex relationship between the perception of safety, health and well-being, socio-economic status, and the type of community, highlighting how these factors collectively influence respondents’ experiences and create micro-segregation.