Agritourism has increasingly been recognized as a strategy for livelihood diversification within sustainable rural development; however, robust empirical evidence regarding its household-level socioeconomic contributions in sub-Saharan Africa remains limited. This study investigates the extent to which agritourism contributes to rural livelihood enhancement in Adjeikrom, Ghana. A pragmatic research paradigm was adopted, and a convergent mixed-methods case study design was employed. Primary data were collected from 100 households using structured questionnaires, complemented by in-depth interviews, focus group discussions, and stakeholder consultations. Quantitative data were analyzed using descriptive statistics and Pearson correlation analysis in IBM SPSS Statistics, while qualitative data were analyzed thematically. Findings indicate that Adjeikrom possesses diverse agritourism resources, including cocoa farm tours, village experiences, and mountain hiking, widely recognized and positively evaluated by residents. Direct livelihood benefits were reported by 74% of households through employment and enterprise development. Correlation analysis revealed a weak, non-significant positive association between household income and perceived livelihood enhancement (r = 0.250, p > 0.05), suggesting agritourism contributes to household well-being without being the principal determinant of livelihood outcomes. Qualitative evidence showed that agricultural productivity was strengthened through technical training, improved input access, and institutional partnerships linked to agritourism, alongside indirect benefits such as improved infrastructure and social capital. By integrating household perceptions, livelihood outcomes, and agricultural support mechanisms within a single analytical framework, the study provides a more comprehensive understanding of agritourism’s multidimensional role in rural development. Findings suggest agritourism should be regarded as an emerging, transitional livelihood pathway, with greater impact achievable through stronger infrastructure, institutional coordination, and community participation linking agriculture, tourism, and local economic development.