A metal clip for vehicle accessory fixation and a vehicle accessory installation structure using the metal clip, capable of improving a yield ratio of a metal plate required to form the metal clip and capable of reliably performing temporary fixation of accessories to an interior member. A metal clip (10) for vehicle accessory fixation has first V-shaped tabs (33) that are bent into a substantially V shape as seen from a side, an end edge of each of which V-shaped tabs (33) is an installation section (34) for engaging with a base section (12) of an accessory, and in which an engagement section (36a) for engagement with an installation hole of a vehicle panel is provided in the middle of each tab; an extension section (37) extended in a folding line (32) direction from a valley bottom section (31) of the first V-shaped tabs (33); and second V-shaped tabs (38) that extend from both sides of the extension section (37) in the direction crossing the extension section (37), each of which second V-shaped tabs (38) is bent in a V shape with an extension section (37) as the valley bottom section (31), and whose end sections (38a) engage with holes (51) of an interior member (50) to temporarily fix the accessory.