Background Stroke is a global public health problem with a magnitude of 13.7 million new strokerncases and 25.7 million stroke survivors. Even though the exact burden of Stroke in Ethiopiarnremains undocumented, it has been estimated that stroke deaths in Ethiopia reached 6.23% of totalrndeaths in 2017. Identifying the unmet needs of stroke survivors is essential to design interventionsrnthat can potentially hasten their recovery process and improve their quality of life. Hence, the aimrnof this study is to determine the Long Term Unmet Supportive Care Needs of Stroke Survivors inrnTikur Anbessa specialized hospital and Saint Paulsâ€™ hospital millennium medical college. rnMethod Institution-based quantitative cross-sectional study was conducted on Stroke Survivorsrnwho came to the neurology outpatient department for a follow up in Tikur Anbessa SpecializedrnHospital and Saint Paul's Hospital Millennium Medical College. A total of 422 participants werernincluded in the study. Data was entered on EPI info and analyzed using SPSS version 25. Therndependent variable long term unmet need was dichotomized as no need and unmet need. Binaryrnand multivariable logistic regression were done to examine the predictors against the outcome ofrninterest. rnResult Among the 422 participants which were included in the study 57.6% were male. Thernmedian age of participants was 54.5 years with IQR (42.75-62.25) years. Three hundred sixtyrn(85.3%)of the respondents had Ischemic stroke. Seeking information about stroke and how tornavoid another recurrence (98.6%), concerns about public transport utilization (80.6%) and needingrnadvice about improving diet (79.4%) were the most frequently reported unmet needs. Long termrnunmet supportive care needs of stroke survivors were significantly associated with lowerrneducational status (AOR= 6.5; 95% CI 2.1,20.5), time since last stroke attack (AOR=2.0; 95% CIrn1.1, 3.5, being hypertensive AOR= 5.3; 95% CI 3.1, 9.1), having heart diseases (AOR=2.6; 95%rnCI 1.4,4.9) and physiotherapy utilization (AOR= 3.4; 95% CI of 1.839,6.369). rnConclusion The results from this study suggest significant unmet needs and gaps in clinical andrnrehabilitation care in long-term stroke patients. High levels of unmet needs were reported byrnpeople who had their last stroke attack within 6-12 months, with low educational level and haverncomorbidities. The development of services to meet long-term needs among stroke survivors isrnwarranted.