Background: As the COVID-19 pandemic spreads rapidly around the world, urgent action is needed to combat the new coronavirus, while other deadly diseases such as malaria cannot be ignored. The impact of the coronavirus on countries affected by malaria and, where possible, contribute to a successful response to COVID-19. Our aim is to assess the possible link between malaria and COVID-19. Methods: This is a retrospective cohort study conducted among adult Sudanese COVID-19 patients admitted to the Universal and Ombada hospitals in a period (4th of April 2020 to the 15th of January 2021) . 87 of the patients were included . Results: Among the 87 patients 64.9 % were males while 35.6 were females. 27.6 % had a positive blood film. 64.7% of the malaria patients had P. falciprum while 35.3% had P. vivax. 52.9% of the patients showed positive RT-PCR for COVID-19 with 52.9 % showed positive CT findings. Generalized fatigability was observed in 52.9 % of the patients with malaria followed by headache, nausea, fever with chills, fever with shivering, vomiting and diarrhea in 42.5%, 36.8%, 20.7%,12.6%, 9.2%, and 9.2% respectively. In COVID-19 patients 85.1% had fever and generalized fatigability, followed by cough, headache, SOB, sore throat, myalgia, chest pain, and diarrhea. 13.79 %of malaria patients had malarial pneumonitis, followed by pulmonary edema, choleric malaria, thrombocytopenia and malaria induced hepatitis in 10.39 %, 9.2 %, 9.19 %, and 6.9% respectively. 8.4% had cerebral malaria while 1.1% had cerebellar syndromes. 44.8 % had ARDS, 17.2% had heart failure, 8% had pulmonary embolism, 8% had stroke, 3.9% had encephalitis and 1.1% had convulsions. Conclusion: Malaria and COVID-19 have a possible link that they both share similar presentations and complications.Funding Information: There was no funding.Declaration of Interests: All authors declare that there are no conflicts of interest.Ethics Approval Statement: Ethical approval was obtained from the state ministry of health, Khartoum state . Both written and verbal consents were taken from the participants. Privacy and protection of the participant’s files and information were of the highest priority.