BACKGROUND: The abdomen is the second most affected body region following the head in trauma patients. The most common abdominal injuries are blunt and commonly injured organs are the spleen and bowels. The overall mortality rate among abdominal trauma patients greatly vary from country to country which ranges 4 % to 25.8%. This study aimed to assess the of abdominal injury outcomes and associated factors among patients with abdominal injuries visited Tibebe Ghion Specialized Hospital, Bahir Dar, Ethiopia, 2020 Method: A cross sectional institutional based study was conducted in TGSH from October 1 to 31/2020.All charts of abdominal injured patients who visited the hospital from January 1, 2019 to October 31/ 2020 were included in this study. A total of 163 patients’ chart diagnosed as abdominal injury were included. Data were entered in Epi Data version 4.6.0, and exported to SPSS version 23 for analysis. Descriptive statistics like frequency tables, graphs and charts used to describe the variables, and logistic regression analysis was performed. Those variables at Binary logistic regression with p-value<0.2 were moved to multivariable logistic regression model and finally Adjusted Odds Ratio with 95%CI and P-value <0.05 declared as statistically significant. Result: a total of 163 patients’ chart diagnosed as abdominal injury investigated in this study; the majority were males and sustained blunt abdominal trauma. The study found that 88.3 % of abdominal injury outcome were discharged with Improved and 11.7% died. Age (AOR: 3.46; 95% CI: 1.04, 11.96), sex (AOR: 4.75; 95% CI: 1.34, 16.82), residency (AOR: 5.86, 95% CI 1.65, 20.88) and presence of complications (AOR: 0.28; 95% CI: 0.09, 0.92) were factors significantly associated with abdominal injury outcomes. Conclusion: The study found that 88.3 % of abdominal injury outcome were discharged with improved. Blunt abdominal trauma was the leading mechanism of abdominal injury and spleen was the most frequently injured organ. Ages < 40 years, being male, being rural resident, and had complications were significantly associated with abdominal injury outcome. Further research shall be multicenter facility and prospective follow up study. Key words: Abdominal injuries, Trauma, blunt, penetrating, Outcome