Introduction: Neonatal Near Misses are newborns that had serious complications at birth orrnduring the neonatal phase but survived. To get relevant controls for neonatal deaths, it is criticalrnto identify Neonatal Near Miss cases and correct contributing factors. However, there are fewrnstudies in Ethiopia that look at the prevalence of Neonatal Near Misses and the factors thatrncaused them. rnObjective: To determine the prevalence of Neonatal Near Miss and associated factors at AddisrnAbaba City Administration Public Hospitals, Ethiopia, 2021. Methods: A facility basedrnretrospective cross-sectional study was conducted among 367 neonates from January first, 20rn20 up to December 31,2020. Four selected hospitals. A pretested structured checklist was usedrnto collect the data. The neonatal and maternal medical charts were chosen using a systematicrnrandom sampling technique. To obtain relevant data, the neonatal and maternal charts werernreviewed and telephone interviews were done with the mothers as well. Bivariate andrnmultivariate logistic regression modeling were fitted to identify factors associated with neonatalrnnear miss. An adjusted odd ratio (AOR) with 95% confidence interval (CI) was computed torndetermine the level of significance. Results: The prevalence of Neonatal Near Miss was 25.6%rnwith (95% CI 21.0-30.5). Merchant (AOR 0.123, 95% CI 0.018 - 0.859), previous history ofrnpreterm birth (AOR 11.828, 95% CI 1.856 - 75.398), caesarian section delivery (2.391 AOR,rn95% CI 1.229 - 4.652), Hypertension (AOR 2.674, 95% CI 1.343 - 5.324), Infection (AORrn3.706, 95% CI 1.375 - 9.988), delivered on duty time (AOR 2.304, 95% CI 1.263 - 4.203), Birthrninjury (AOR 4.759, 95% CI 1.711 - 13.241), and Congenital anomaly (AOR 8.925, 95% CIrn2.580 - 30.873) were significantly associated with NNM. rnConclusion: The percentage of Neonatal Near Misses in the study setting was found to be lowerrnwhen compare to local studies. The opposite is true when it comes to findings from internationalrnstudies. The majority of near-miss determinants are modifiable/preventable obstetric and healthcarernutilization-relatedrnfactors.rnHence,rnstakeholdersrnneedrntornconsiderrnthernaforementionedrnfactorsrnrnwhilerntheyrndesignrninterventions.