Since the beginning of 2020, the focus has predominantly been on the prevention and control of the COVID-19 pandemic. However, the 'new normal' has drastically altered responses to other hazards, underscoring the need to prepare and plan for complex, multi-risk scenarios. Nevertheless, there's limited literature on disaster preparedness and response for compound hazard scenarios, particularly pandemic-natural hazard hybrids. The few studies that have explored concurrent hazards during the COVID-19 pandemic have largely focused on developed, high-income countries. Yet, compound events can exacerbate pre-existing socio-economic vulnerabilities in developing countries, straining systems and causing disproportionate impacts. This study addresses this lacuna by examining (1) emergency preparedness and response measures for Sri Lanka's Southwest and Northeast monsoons during the COVID-19 pandemic, and (2) the feasibility of current Disaster Risk Reduction (DRR) strategies for managing compound pandemic-natural hazard events in Sri Lanka. The research involves a desk-based policy analysis of disaster and health policies, key informant interviews with 26 officials, and focus group discussions with Public Health Inspectors from Ratnapura, Jaffna, Matara, and Gampaha. Findings indicate that while significant steps were taken, including impact scenario analyses, stakeholder meetings, and revised response measures, challenges such as resource constraints and limited capacity persisted. This study further demonstrates that the country's existing DRR strategies are characterised by gaps that may hinder capacities to effectively manage compound hazards. The findings of this study therefore encourage the implementation of structural changes and anticipatory action that adequately account for the complexity of risk supported by cross-sectoral collaboration. The study particularly highlights the importance of proactive scenario-based planning, developing composite risk matrices that account for multiple dimensions of vulnerability, fostering cross-sectoral and cross-level collaboration, and adapting existing early warning systems to effectively manage compound hazard scenarios.