East Sacramento (also known as East Sac) is a neighborhood in Sacramento, California, United States, that is east of downtown and midtown. East Sacramento is bounded by U.S. Route 50 to the south, Business Loop 80 to the west and north, Elvas Avenue to the northeast and east, and California State University, Sacramento and the American River to the southeast. East Sacramento residential development began in the 1890s, and the area was annexed into Sacramento in 1911. East Sacramento was also home to the Alhambra Theatre. East Sacramento also includes McKinley Park and the "Fabulous Forties" neighborhood.