Background: World Health Organization recommends labor companionship as one of the most cost-effective methods of increasing positive childbirth outcomes and meeting a woman’s basic emotional and physical needs during labor and childbirth. Yet, the data on the extent to which it is implemented and the factors that affect it, as well as women's, healthcare providers', and women's partners' perspectives on it in Ethiopia, is limited. Objective: Assess magnitude of labor companionship utilization and associated factors among mothers who gave birth at Bahir Dar City Administration public health facility, North West Ethiopia, 2022. Methods: A facility-based sequential explanatory mixed study was conducted from May 1–30, 2022. The quantitative data were collected through a systematic random sampling method and analyzed with the Statistical Package for Social Sciences version 25.0. Bivariate and multivariate logistic regression analyses were employed to estimate the crude and adjusted odds ratios with a confidence interval of 95% and a P-value of less than 0.05 in multivariate regression is considered statistically significant. For qualitative data, the purposive sampling technique was used, in-depth interviews were conducted, and thematic analysis was performed, using open code software version 4.03. Result: A total of 651 participants were involved in the study, with a response rate of 99.5%. The magnitude of labor companionship was 17.1% (14.50–19.9). Having a desire for a labor companion for future pregnancy (AOR = 2.70; 95% CI: 1.44–4.90), being primipara (AOR = 2.74; 95% CI: 1.69–4.66), having at least one ANC visit (AOR = 2.00; 95% CI: 1.14–3.80),giving birth at health center (AOR = 5.39; 95% CI: 3.18–9.15), attaining a diploma or above educational level (AOR = 3.76; 95% CI: 1.72–8.21) and having good awareness of labor companionship(AOR = 2.51; 95% CI: 1.42–4.34),were factors positively associated with companionship utilization. Conclusion: Although a majority of women desire companionship in labor, the magnitude of labor companionship in this study is low. Interventions with women, their partners, and health care providers, as well as labor-ward structural interventions, are needed to promote continuous support during labor. Key words: Labor Companionship, Perspective, Respectful Maternity Care, Bahir Dar, Ethiopia.