<p><strong>Background</strong>: Hypertension is a critical global health challenge, contributing to substantial morbidity and mortality, particularly in low- and middle-income countries with limited healthcare resources. Effective management of hypertension requires strict adherence to lifestyle modifications; however, non-adherence remains a significant barrier to achieving optimal blood pressure control. This study aimed to investigate the level of adherence to lifestyle modifications and the associated factors among hypertensive patients in selected sentinel health facilities in Bahir Dar City, Northwest Ethiopia.&nbsp;</p>