Introduction: Low birth weight neonates are subjected to different comorbidities due to anatomical & physiological immaturity. Globally 60-80% of neonatal mortality was due to low birth weight. As a result, death related to low birth weight remains a worldwide public issue. Different studies in both developed & developing countries focus on prevalence and associated factors, but little is known about low birth weight neonatal survival status. Hence, this study focuses on knowing their survival status and predictors of mortality among low birth weight neonates. Objective: To assess survival status and predictors of mortality among low birth weight neonates admitted at Felege-Hiwot Comprehensive Specialized Hospital Bahir Dar, Ethiopia. Methods: An institution-based retrospective cohort study design was conducted among 718 low birth neonates admitted to neonatal intensive care unit from January 1, 2017, to December 30, 2019, at Felege Hiwot Comprehensive Specialized Hospital. Data were collected by using a standardized checklist from the neonatal charts, which were selected by a simple random sampling method, then entered in Epi data version 3.1 and analyzed with STATA version 14. Kaplan Meier curves together with a log-rank test were used to estimate the survival time and showed the presence of difference in survival time among groups. Cox proportional-hazard regression was used to estimate the hazard ratio at 5% level of significance to determine the net effect of each explanatory variable on survival status. Statistical significance was declared by p <0.05. Results: Out of 718 Low birth weight neonates, 202(28.1%) (CI; 25.0-31.5) of them were died. The overall incidence density of 35.3 per 1000 person-day observations (CI; 30.8 40.6) with 5715 follow up days. Deliveries outside health institution AHR 2.31; CI 1.20-4.42), maternal age <18 years (AHR;3.08 CI 1.64-5.81) and maternal age >35 years (AHR;3.83 CI:2.00-7.31),sepsis (AHR;2.33 CI 1.38-3.94), respiratory distress syndrome (AHR;1.92 CI:1.27-2.89),necrotizing enterocolitis (AHR;3.09 CI;1.69-5.64) and birth weight <1000gm (AHR;3.61 CI 1.73-7.55) were found to be significant predictors. Conclusion: This study showed that, two from seven low birth weight neonates were died during follow up time and highest incidence density of was seen with in the 24 hours of neonatal age. Therefore, it is better for health care providers and other stakeholders more to focus on early diagnosis and management of Low birth weight neonates with sepsis, respiratory distress syndrome, necrotizing enterocolitis and counseling mothers on the risk to have a child in early and old age. Keywords: Low birth weight, Incidence density, survival status, predictors mortality