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Abdene Weya Kaso,1 Hailmariam Getachew Tesema,2 Habtamu Endashaw Hareru,1 Taha Kaso,3 Zemachu Ashuro,1 Adugna Asefa Talemahu,4 Soressa Tafere Jore,4 Reta Kassa,1 Gebi Agero,5 Alemayehu Hailu6,7 1School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia; 2Department of Anaesthesiology, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia; 3Department of Surgery, College of Health Science, Arsi University, Asella, Ethiopia; 4School of Medicine, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia; 5Department of Public Health, College of Health Science, Arsi University, Asella, Ethiopia; 6Bergen Centre for Ethics and Priority Setting, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; 7Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USACorrespondence: Abdene Weya Kaso, Email abdannekaso@gmail.comBackground: The pandemic of the novel coronavirus (Covid-19), which is extremely stressful and has an adverse effect on people’s health-related quality of life (HRQoL), poses a serious threat to global public health. As a result, this study evaluated the health-related quality of life and associated factors among Covid-19 patients who were discharged from Ethiopian treatment centers.Methods: We conducted a multi-center, cross-sectional study among 493 Covid-19 survivors who had been discharged from treatment centers between 1st January 2020, and 20th October 2021. We collected respondents’ data using validated Amharic version EuroQol 5-dimensional-5 levels (EQ-5D-5L) questionnaire along with medical records of the patients. Differences in HRQOL scores between patient subgroups were tested by Mann–Whitney U or Kruskal–Wallis test, and the multivariable betaMix regression was used to investigate factors associated with HRQOL scores.Results: The EQ-5D and VAS median score for Covid-19 survivors was 0.940 (IQR: 0.783– 0.966) and 87 (IQR: 70– 91) respectively. Overall, married individuals, old-aged, individuals who had low educational status, high monthly income, comorbidities, admitted to the Intensive care Unit, received intranasal oxygen care, and prolonged hospitalization had lower utility scores and EQ-VAS scores compared to their counterparts. In multivariate betaMix regression, respondents’ health status at admission, old age, chronic obstructive pulmonary disease, asthma, and hospital length of stay were significantly associated with the lower EQ-5D-Index value and EQ-VAS score.Conclusion: We found that Covid-19 infection had a persisting impact on the physical and psychosocial health of Covid-19 survivors. Age, having asthma and chronic obstructive pulmonary disease, having a worsening health state upon admission, and a prolonged hospital length of stay were significantly associated with the lower EQ-5D and EQ-VAS score. Therefore, the cost-effective psychological treatment such as cognitive behaviour therapy should be encouraged after hospitalization to improve the post-Covid-19 depression and fatigue.Keywords: quality of life, Covid-19, Ethiopia