The 15-minute city has emerged as a key urban development theme in recent years, and especially since the Covid-19 pandemic. It has also become a focus point for tensions and debates over future urban trajectories, including over the role of automobility as the key technology that defines the experience of the urban. While the 15-minute city has become a widely-used concept by proponents and detractors alike, it remains vaguely defined and heavily contested. The paper makes two contributions: first, it reads plans for, and debates around, the 15-minute city as a form of post-political urbanism. Secondly, the paper introduces the concept of paranoid urbanism as a way of understanding urban tensions and conflicts linked to mistrust, fear and paranoia in the post-pandemic city. This novel concept goes to the heart of debates and tensions over the shape of the post-pandemic city, and over mechanisms of exclusion and inclusion that characterise it. The arguments presented in the paper aim to both chart areas for further research, and as provide critical pointers for policymakers and practitioners working in the area of urban development. To this end, the paper presents ten critical reflections aimed at both policy and practice, and at establishing new avenues of research on paranoid urbanism in the post-pandemic era.