Background: Heart failure is not a single pathological diagnosis, but a clinical syndrome consisting of cardinal symptoms that can be accompanied by signs. It is due to a structural and/or functional abnormality of the heart that results unable to pump forward or fully relaxed to accept the incoming preload. Although many researches show data on the prevalence and risk factor for heart failure (HF), there is still a continuous change. Over the past several years a shift in the HF(heart failure risk factor profile) has been observed in many clinical trials. Objective: To determine the proportion of heart failure patients and identify its associated factors among patients admitted at medical ward, Tibebe Ghion Hospital, Bahir Dar, Ethiopia. Methods: Institutional based cross-sectional study design was conducted on record review of 206 admitted patient’s chart from August 30 to September 30 2022 using systematic random sampling technique. Data was collected using pre tested checklist from patient’s medical charts and entered using Epi info7 and exported to SPSS version 25 for analysis. At bivariate analysis, a binary logistic regression was used. Crude odds ratio (OR) with 95% confidence interval (CI) for each variable of interest was calculated and those variables with p-value of 0.2 was candidate for multiple logistic regression. In multiple binary logistic regression models adjusted odds ratio was calculated and variables with p <0.05 was considered as statistically significantly associated with heart failure. Results: A total of 206 study participants were enrolled in study with the proportion of heart failure 22.8%. Those patients with age group 41-70 with (AOR= 2.3; 95%CI (1.09-4.5) was the factor significantly associated with heart failure at p value<0.05. Conclusion and recommendation: The prevalence of heart failure in this study was 22.8%. Ths factor associated with heart failure was age. Our data emphasized that heart failure was a problem among patients. Patients should be regularly assessed for this risk factors and others risk factors should be screened early and managed accordingly. Moreover, the Public Health managers and clinicians together should provide further preventative strategies to attenuate heart failure. Key words: heart failure, proportion of heart failure, risk factors for heart failure, Tibebe Ghion, Ethiopia