Background: Globally, nearly 49 million under-five children were wasted and 17 million werernseverely wasted in 2018.In Africa, about 13.8 million and 4 million children were wasted andrnseverely wasted respectively. Severe acute malnutrition contributes to one million under fiverndeaths each year which is about 45 percent of deaths in this particular age group. With thernexistence of functional Stabilization centers following standard protocol many developingrncountries continue to experience high mortality of children with severe acute malnutrition. rnObjective: To determine survival status and identify predictors of mortality among under-5rnchildren with severe acute malnutrition admitted to Stabilization Center. rnMethods: A retrospective cohort study was employed among 388 under-five children with SeverrnAcute Malnutrition admitted to stabilization center at Jinka General Hospital between Januaryrn2017 and December 2019. The data was collected from randomly selected records from eachrnyear. Data was entered to Epi-Data and exported to SPSS Version 25 for analysis. The KaplanrnMeier survival curve is used to estimate the cumulative survival time. Log rank tests were usedrnto compare probability of hazard among variables. Bi-varaite and multivariate Cox proportionalrnhazards models were used to identify predictor variables and variables having p value < 0.05rnwere considered as statistically significant. rnResult: Findings of this study showed that the overall survival times at 1st, 7th, 14th, 21st andrn28th days were; 99.2%, 97.9%, 90.5%, 87.9%, and 86.6% respectively with mean length of stayrnof 12 days. Adjusting other variables children with edema were AHR 2.38, Tuberculosis (AHRrn2.39), malaria (AHR 4) and anemia (AHR 3.12) times more likely to die than their counterparts.rnOn the other hand, children treated with amoxicillin were 59% and mebendazole 84% morernlikely to survive than not treated. rnConclusion: Death rate while being on treatment is high in this study area. But recovery rate,rndefault rate and transfer rate are acceptable according pre-existing standard. Children havingrnedema, malaria, anemia, Tuberculosis and being treated with amoxicillin and mebendazole werernindependent predictors of mortality.