Background: Indonesia faces a significant nutritional challenge among adolescents, termed the double burden, involving both undernutrition and overnutrition, notably central obesity. Lifestyle factors such as irregular dietary patterns and inadequate physical activity contribute to these issues, impacting physical and mental growth and development, particularly the cardiovascular system. This study aimed to examine the dietary patterns, physical activity, and nutritional status of medical students at Udayana University. Methods: This descriptive observational cross-sectional study involved 165 students, selected using simple random sampling. Dietary patterns were assessed using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity was evaluated using the Global Physical Activity Questionnaire (GPAQ), and nutritional status was determined through anthropometric measurements. Results: Most respondents exhibited dietary pattern close to the recommended dietary allowance (RDA) (53.9%), followed by low (40%) and over (6.1%). In terms of physical activity, 51.5% had insufficient activity, while 48.5% had sufficient activity. Regarding nutritional status, 55.2% were classified as normal, 10.3% underweight, 15.8% overweight, and 18.8% obese, comprising obesity I (12.7%), obesity II (6.1%), and central obesity (12.7%). Conclusion: The study highlights prevalent abnormal dietary patterns and nutritional status among respondents, alongside inadequate physical activity. Recommendations include implementing interventions to improve dietary habits and increase physical activity among medical students at Udayana University. Further research utilizing more precise measurement methods is warranted to explore the relationship between dietary patterns, physical activity, and nutritional status.