Provided is a high manufacturing method of the production efficiency for a wood cement board that has a pattern of recesses and projections. The method for making a wood cement board having a pattern of recesses and projections on its surface, comprising: dispersing a raw material mixture onto a template provided with recesses corresponding to the portions of the wood cement board on which projections are formed, while conveying the template, thereby forming a mat; pressurizing only a section of the mat raw material mixture that is layered on the recesses of the template from above; leveling the surface of the partly pressurized mat; and pressing the resulting mat and the template together, followed by hardening and curing.