Disclosed herein are antimicrobial hand wash compositions comprising an organic acid, a preservative, and a microbial synergist. In particular, the compositions comprise a carboxylic acid, a carboxylic acid salt preservative, and an alkyl aryl alcohol microbial synergist. Also disclosed are methods of using the same to provide an at least 2 log10 kill of a microbial population, including Candida albicans.