Actinide colloids and nanoparticles (NPs) currently constitute a topic of strong interest due to their potential role in advanced nuclear energetics and the environmental migration of radioactivity. A better understanding of the physico-chemical properties of nanoscale actinide oxides requires robust synthesis approaches. In this work, UO2+x NPs were successfully prepared by sonochemistry from U(IV) solutions previously stabilised in a hydrochloric medium (20 kHz, 65 °C, Ar/(10%)CO). Colloidal suspensions were found to be composed of crystalline and spherical NPs showing a UO2-like structure and measuring 18.0 ± 0.1 nm (SAXS, HR-TEM and PXRD techniques). In comparison with the controlled hydrolysis approach used as a reference, sonochemistry appears to be a simple and original synthesis route providing larger, better defined and more crystalline UO2+x NPs with a narrower size distribution. These well-defined NPs offer new opportunities for the preparation of reference actinide materials devoted to fundamental, technological and environmental studies.