Introduction: - Severe community-acquired pneumonia affects all age groups of children, but under-five children are the most vulnerable. Globally, nearly 11.9 million under-five children experience severe community-acquired pneumonia which contributes to 14% of child deaths, highest burden in developing countries. Severe community-acquired pneumonia was the major causes of hospital admission and prolonged time of hospitalization.Some important variables, such as radiographic finding, laboratory investigations and, referral source at admission were not assessed in the previous studies. Objective: - The purpose of this study was to estimate the time to recovery and its predictors of severe community-acquired pneumonia among 2-59months children admitted in Pawe General Hospital, Ethiopia from [January 2016 -December 2020]. Method: -Institution-based retrospective cohort follow-up study was conducted among children 2–59 months of age who have been treated for severe community-acquired pneumonia from[January 2016 to December 2020]. Sample size was determined by double population proportion and sampling method by stratified random sampling was implemented. Cox proportional hazard model assumption was checked using the statistical test of Schoenfeld residual (global test), and graphical assumption test. Finally, allover model fitness was checked by Cox snell residual. Variable having P-value <0.2 during bivariable analysis were entered into multivariable analysis. P-value <0.05 was considered as stastically significant. Results: - The median time to recovery from severe community-acquired pneumonia was 4 days at interquartile range (2-6) and recovery rate was 19.69 per 100 person-day observations. From multivariable Cox regression analysis, the lower chance of early recovery from SCAP was found among children were facility referral source 21%, comorbid conditions of anemia35% and wasting 36%, late present to the hospital 33%, pulmonary effusion 69%, with no identified blood film 35% and with no identified hemoglobin level 47% delayed as compared to their counterpart. Conclusions:-The findings of this study showed that the median time to recovery was 4 days within the sphere standard. The main predictors of time to recovery were facility referral sources, anemia, wasting, pulmonary effusion, no Blood film investigation and no identified hemoglobin level at admission. Hence, it should be better to give attention to children with identified predictors. Keywords:-Severe community-acquired pneumonia, Time to Recovery, Children, and Pawe.