<p><strong>Results: </strong>Among 6,253,871 suspected cases, 1,802,363 (29%) were confirmed malaria cases, yielding an average incidence rate of 32.43 per 1,000 people (95% CI: 22.6-45.4) and a case fatality rate of 29 per 100,000. Plasmodium falciparum (66.5%) was the predominant species, followed by Plasmodium vivax (33.5%). The highest transmission was recorded in 2023 (302,605 cases), while the lowest was in 2021 (19,110 cases). During the conflict, report completeness decreased by 83%. Malaria cases peaked in autumn. The average incidence rate of males and females were 50.19 and 25.31 per 1000 population respectively and individuals over 15 years old were 43.16 per 1000. Incidence was highest in the western zone (93/1,000) and lowest in Eastern and Mekelle zones (5/1,000).&nbsp;</p>