<p><strong>Background:</strong> Malaria remains a major public health concern in Ethiopia. Recurrent malaria not only exacerbates the burden on healthcare systems but also leads to increased morbidity, economic strain, and the risk of developing severe complications. Despite some studies on malarial recurrence, evidence on the incidence and the factors contributing to recurrence is scarce in Ethiopia. So, this study determines the incidence of malarial recurrence and its determinants among patients with malaria in the Andabiet district, northwest Ethiopia.</p>