Introduction: Hypertension is considered one of the most challenging public health problems worldwide. It is one of the modifiable risk factors for cardiovascular, renal, and eye disease. Adherence to the recommended diet has a key role to reduce uncontrolled hypertension and hypertension-related complications. As far as to investigator knowledge, a study on dietary adherence among hypertensive patients and associated factors are limited in Ethiopia. Objective: This study aimed to assess dietary adherence and associated factors among hypertensive patients in Bahir Dar city governmental hospitals, Bahir Dar, Ethiopia. Method: A cross-sectional study was conducted at Bahir Dar city governmental hospitals from February 23 to March 23, 2020. Proportional allocation and systematic random sampling techniques were used to select 386 individuals with hypertension. Data was collected through face to face interviews and chart review. The logistic regression model was used to assess the association between predictors and recommended dietary adherence. The association was interpreted using the odds ratio and 95% confidence interval. Level of significance was considered at p-value ≤ 0.05 Result: Of 375 respondents included in this study, 210 (56%) were male and the mean age was 52.8 years. The proportion of dietary adherence was 32.8% (CI: 28.0, 37.6). Result of multivariable logistic regression analysis showed that educational level college and above (AOR=3.0, CI=1.26, 7.08), received nutritional education (AOR=1.9, CI=1.05, 3.62), knowledgeable about hypertension (AOR=2.5, CI=1.36, 4.58), who had no co-morbidities (AOR=2.8, CI=1.49, 5.20), who lived two to four years with hypertension (AOR=2.4, CI=1.17, 5.07), and who had strong social support (AOR=7.1, CI=2.85, 17.46) had significantly association with recommended dietary adherence. Conclusion and recommendations: This study demonstrated that low proportion of hypertensive individuals were adhered to recommended diet. Therefore, availed a social network of family and friends; providing dietary education to address the participants‟ knowledge of hypertension, promote survival skill to new diagnosed and considered co-morbidities are an integral part of overall health in people with hypertension. Keywords: Adherence, recommended diet, Hypertension