Background: - Preeclampsia is a disorder of pregnancy characterized by high blood pressurernand proteinuria after 20 weeks of gestation, and a common direct obstetric cause for perinatalrnand maternal morbidity and mortality in developing countries. rnObjective: To assess the clinical features, and treatment outcome of women with preeclampsiarnand Eclampsia admitted in Gondar University specialized hospital, Northern Ethiopia 2020/2021. rnMethods: A retrospective cross-sectional chart review study was conducted at Gondar universityrnspecialized hospital from April 9-May/30/2021. Among women hospitalized for preeclampsiarnand eclampsia 311 mothers selected using systematic sampling. A pretested check list was usedrnto collect data from medical records. The collected data was coded, entered into Epi-data versionrn4.6, and exported to SPSS 26 for descriptive and inferential analysis. Chi-square and fishersrnexact test were done to determine a statistically significant factors and a p-value of â‰¤0.05 wasrnconsidered to set a statically significant association. rnResults; Out of 311 study population, almost half of cases (49.8%) were preeclampsia withrnseverity features. While, Eclampsia accounted for 18.6% of women. Above 50% of mothersrnrequired immediate interventions to terminate the pregnancy by cesarean section for variousrnindications. Unfavorable maternal outcome was present in more than 25% of cases; the observedrnunfavorable maternal outcomes were aspiration pneumonia 10.6%, HELLP syndrome 8.7% andrnmaternal death 2(0.6%).While 12.2% of cases had unfavorable perinatal outcome. Thernunfavorable perinatal outcomes were still birth 31(10%) and early neonatal death 7(2.3%).rnDisease severity, mode of delivery, aspartate transaminase, gravidity, gestational age andrnantenatal care were statistically significant factors with outcome of pregnancy. rnConclusion; Prevalence of unfavorable maternal and perinatal outcomes of preeclampsia andrneclampsia are considerable in the study area. To deter these effects both on perinatal and thernmaternal outcomes of pregnancy, antenatal care services and emergency obstetrics and new bornrncare should be expanded and strengthen.