<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0206</schemaVersion>

    <documentType>3</documentType>

    <periodOfReport>2024-11-05</periodOfReport>

    <noSecuritiesOwned>0</noSecuritiesOwned>

    <issuer>
        <issuerCik>0001753162</issuerCik>
        <issuerName>Fathom Holdings Inc.</issuerName>
        <issuerTradingSymbol>FTHM</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0002041573</rptOwnerCik>
            <rptOwnerName>Zach Joanne</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O FATHOM HOLDINGS INC.</rptOwnerStreet1>
            <rptOwnerStreet2>2000 REGENCY PARKWAY DRIVE, SUITE 300</rptOwnerStreet2>
            <rptOwnerCity>CARY</rptOwnerCity>
            <rptOwnerState>NC</rptOwnerState>
            <rptOwnerZipCode>27518</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>Chief Financial Officer</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeHolding>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>153375</value>
                    <footnoteId id="F1"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </nonDerivativeHolding>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">Of these shares, 2,861 are restricted and vest in full on December 30, 2024, 36,312 are restricted and vest in full on March 30, 2025, 9,314 are restricted and vest in full on June 29, 2025, and 12,563 are restricted and vest in full on March 30, 2026.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>/s/ Donald R. Reynolds, by Power of Attorney</signatureName>
        <signatureDate>2024-11-07</signatureDate>
    </ownerSignature>
</ownershipDocument>
