This study explores the impact of gender-based violence (GBV) in war-torn areas of northern Ethiopia, particularly during the two-year armed conflict that began in November 2020 and ended in November 2022. The research involved qualitative and quantitative methods, including in-depth interviews with GBV survivors and data from healthcare facilities. Over 1,177 survivors reported GBV to healthcare providers, with sexual, physical, and psychological violence being the most common forms. Survivors described experiences such as gang rape, sexual violence against pregnant and elderly women, and physical abuse using weapons and items like cigarettes. GBV survivors faced stigma, prejudice, and mental health issues, including nightmares, hopelessness, and suicidal thoughts. They coped by migrating, seeking healthcare, self-isolation, or dropping out of school. The study found that GBV survivors experienced multiple forms of violence, including sexual, physical, and psychological, with severe health and social consequences. Survivors reported that perpetrators often targeted women and girls, including minors, and used violence as a means of revenge or to humiliate them. The conflict also led to widespread displacement, trauma, and social stigma. GBV survivors faced challenges in accessing healthcare and support, with many feeling isolated and discriminated against. The study highlights the need for comprehensive interventions, including psychological, health, and economic support, to help survivors recover and rebuild their lives. The research underscores the devastating impact of armed conflict on vulnerable groups, particularly women, children, and the elderly. GBV in conflict zones is a serious human rights issue, with long-term consequences for survivors and their families. The study emphasizes the importance of community-based interventions and the need for governments and organizations to provide support and protection for GBV survivors. The findings highlight the urgent need for improved healthcare services, mental health support, and social reintegration programs to address the ongoing effects of GBV in conflict-affected areas.This study explores the impact of gender-based violence (GBV) in war-torn areas of northern Ethiopia, particularly during the two-year armed conflict that began in November 2020 and ended in November 2022. The research involved qualitative and quantitative methods, including in-depth interviews with GBV survivors and data from healthcare facilities. Over 1,177 survivors reported GBV to healthcare providers, with sexual, physical, and psychological violence being the most common forms. Survivors described experiences such as gang rape, sexual violence against pregnant and elderly women, and physical abuse using weapons and items like cigarettes. GBV survivors faced stigma, prejudice, and mental health issues, including nightmares, hopelessness, and suicidal thoughts. They coped by migrating, seeking healthcare, self-isolation, or dropping out of school. The study found that GBV survivors experienced multiple forms of violence, including sexual, physical, and psychological, with severe health and social consequences. Survivors reported that perpetrators often targeted women and girls, including minors, and used violence as a means of revenge or to humiliate them. The conflict also led to widespread displacement, trauma, and social stigma. GBV survivors faced challenges in accessing healthcare and support, with many feeling isolated and discriminated against. The study highlights the need for comprehensive interventions, including psychological, health, and economic support, to help survivors recover and rebuild their lives. The research underscores the devastating impact of armed conflict on vulnerable groups, particularly women, children, and the elderly. GBV in conflict zones is a serious human rights issue, with long-term consequences for survivors and their families. The study emphasizes the importance of community-based interventions and the need for governments and organizations to provide support and protection for GBV survivors. The findings highlight the urgent need for improved healthcare services, mental health support, and social reintegration programs to address the ongoing effects of GBV in conflict-affected areas.