Perennial saline springs in the Rumsey Hills area, southwestern Sacramento Valley, California, locally discharge at high elevations and near ridgetops. The springs are cold, are commonly associated with natural gas seeps, and typically emerge along west-vergent thrust faults. Stable isotope analyses indicate that the spring waters are similar to oil-field formation fluids and that they have had a significant residence time in the subsurface at moderate temperatures. The non-meteoric character of the springs demonstrates that they are not being fed by perched water tables. We propose that these subsurface formation waters are being forced to the surface by anomalously high pore-fluid pressures. The Rumsey Hills area is one of Quaternary uplift, thrusting, and crustal shortening, and prospect wells drilled there have encountered anomalously high fluid pressures at shallow depths. We attribute these high fluid pressures to active tectonic compression and shortening of Cretaceous marine sedimentary rocks. The widespread occurrence of anomalously high pore-fluid pressures and perennial saline springs in the Coast Ranges and western Great Valley suggests that much of western California may be characterized as a seismically active, overpressured thrust belt. The emergence of formation waters along thrust faults further suggests that patterns of subsurface fluid flow in western California may be similar to those in overpressured accretionary prisms, and that excess fluid pressures may also play a role in the distribution of seismicity.