The present invention is an oil-in-water emulsified skin cosmetic comprising acetylated hyaluronic acid, a specific polymethacryloyloxyethyl phosphorylcholine derivative, non-emulsifying cross-linked silicone, glycerin, polyvinyl alcohol, an acrylamide type thickener, and an oil component in an amount of 25 wt % or more relative to the total amount of the oil-in-water emulsified skin cosmetic.The object of the present invention is to provide an oil-in-water emulsified skin cosmetic manifesting superior effects in improving spreadability on the skin, absorption in the skin, absence of stickiness, emollient sensations, taut sensations, and wrinkles/sagging.