 The objective of this study was to investigate the prevalence of cardiometabolic risk factors, CMRFs, target organ damage, TOD, and its associated factors among adults in freedom, Sierra Leone. The study used to stratify multi-stage random sampling method to recruit adult participants. A total of 2,394 adults Sierra Leoneans aged 20 years or older were enrolled. Anthropometric data, fasting lipid profiles, fasting plasma glucose, TOD, clinical profiles and demographic characteristics of participants were described. The cardiometabolic risks were further related to TOD. The prevalence of known CMRFs was 35.3% for hypertension, 8.3% for diabetes mellitus, 21.1% for dyslipidemia, 10% for obesity, 13.4% for smoking and 37.9% for alcohol. Additionally, 16.1% had left ventricular hypertrophy, LVH, by ECG, 14.2% had LVH. This article was authored by Sory Conte, Santagis Essay, Suleiman Lako, and others. We are article.tv, links in the description below.