 The objective of this study was to assess the level of cardiovascular disease, CVD, risk and associated factors among hypertensive patients having follow-up at selected hospitals in Addis Ababa, Ethiopia. The study found that the prevalence of a high-predicted 10-year CVD risk level was 28.2%, which was significantly associated with age, 4.2 times more likely for those aged 64 to 74 years old, being male, 2.1 times more likely, unemployment, 3.2 times more likely. Stage 2 Cystolic Blood Pressure, 11.32 times more likely. These findings suggest that regular screening for the presence of CVD risk factors and assessment of CVD risk should be implemented for hypertensive patients for CVD risk reduction. This article was authored by Dejuma Yadeta-Goshin, Telallam Negash Makuria, Jenna Yukasi-Gettahan and others.