Introduction: Breaking bad news to patients or discussing a serious case with a patient is part ofrnthe daily activity of many healthcare professionals and it is an inevitable clinical duty. In arnMedical setting bad news is any information likely to alter drastically a patient's view of his orrnher future perspectives and vision of life. Effective communication skills of delivering bad newsrnare very important to develop good patient-physician relationships. rnObjective; To assess the Knowledge, and Attitude of TASH Junior physicians about breakingrnbad news. rnMethods: An institutional-based cross-sectional study at Tikur Anbessa specialized hospital,rnAddis Ababa Ethiopia from August to October 2021, and comprised 286 postgraduate residentsrnof different specialties making a 98% response rate. Their knowledge and attitude were assessedrnby using a specifically-designed questionnaire based on SPIKES protocol. It is a six-steprnprotocol of Setting, Perception, Invitation, Knowledge, Empathy, and Summarizing model. Datarnwere collected through self-administered questionnaires and online surveys. The collected datarnwere entered into Microsoft excel, then it was exported to SPSS of version 26.0 for analysis.rnBivariate and multivariate analysis using logistic regression models was used to determine thernassociation between different predictor variables with the dependent variable rnResults: Among 286 respondents, 201 (70.3%) were males and 85(29.7) were females and thernmean age of the participants was 29.69 years (SDÂ±2.205) years).98.3% of participants have beenrninvolved in breaking bad news, (37.1%) admitted bad experience in breaking bad news andrn87.6% did not have any specific teaching or training on BBN. The mean and median score of thernparticipants' knowledge about breaking bad news in this study was 5.94 (SD Â± 1.100) and 6rnrespectively. Among participants, 70.3% had good knowledge, followed by a poor knowledgern(16.4%) and a Moderate level of knowledge (13.3%). From self-reported breaking bad newsrnskills majority of participants (57.7%) of participants were only fairly satisfied with their BBNrnskills. rnConclusion rnMost of the participating physicians didnâ€™t receive any training on BBN, a substantial number ofrnresidents didn't follow BBN protocol. Even though a majority of participants had goodrnknowledge they had little satisfaction regarding their BBN skills rnRecommendation rn Education and training for trainees during their residency programs to improve their BBN skillsrnshould be considered and adoption of BBN protocol