Estimating out-of-sample risk for models trained on large high-dimensional datasets is an expensive but essential part of the machine learning process, enabling practitioners to optimally tune hyperparameters. Cross-validation (CV) serves as the de facto standard for risk estimation but poorly trades off high bias ($K$-fold CV) for computational cost (leave-one-out CV). We propose a randomized approximate leave-one-out (RandALO) risk estimator that is not only a consistent estimator of risk in high dimensions but also less computationally expensive than $K$-fold CV. We support our claims with extensive simulations on synthetic and real data and provide a user-friendly Python package implementing RandALO available on PyPI as randalo and at https://github.com/cvxgrp/randalo.