A holistic approach to critical care nursing requires that the family be included in the plan of care. Once the patient has been admitted to the critical care unit, an assessment of the family provides valuable information for the preparation of the nursing care plan. Therefore, this study intends to gain information about the level of the family need and their satisfaction in the Intensive Care Unit Hospital Universiti Sains Malaysia (HUSM), Kubang Kerian Kelantan, Malaysia. A cross-sectional study design with 111 respondents was selected using convenience sampling. The inclusion criteria: The patient’s family came to accompany them in the ICU ward; volunteer participate in this study. The questionnaire is divided into two sections: Part A: Demographic data and part B: Critical Care Family Needs Inventory (CCFNI) questionnaire was administered to all consenting relatives of ICU patients to determine the family needs. The frequency, mode, mean, standard deviation, and Pearson's correlation coefficient were measured. The correlation analysis revealed a significant positive correlation between family satisfaction and family needs. There was a significant correlation between family satisfaction and family need the p-value is .001. In an intensive care unit, family members' top five needs are support, proximity, comfort, information, and assurance. Support is presently in first place on the ranking. Family needs and satisfaction is commonly taken care of at ICU HUSM. The information gathered can be used to improve ICU services. Therefore, nurses must have trusting relationships with family members and be proactive to contribute to satisfaction.