This qualitative case study delves into the profound impact of load-shedding, the deliberate and temporary interruption of electricity supply, on small and medium (SMEs) in the Enoch Mgijima Local Municipality (EMLM) of South Africa. The study, conducted within an interpretive research paradigm and a qualitative methodology, provides a nuanced understanding of how institutional forces shape SMEs' behavior, decision-making, and overall functioning in the face of energy disruptions. The persistent power cuts due to load-shedding have had a substantial toll on the survival of SMEs in the EMLM, with businesses across diverse sectors, including hospitality, beauty, manufacturing, retail, and services, struggling to maintain operations. The study brings to light the multifaceted challenges SMEs face, such as disruptions to daily activities, equipment damage, and significant financial losses. It also presents a concerning trend of layoffs by SMEs in the region, contradicting the National Development Plan’s (NDP) employment creation goals. The findings provide valuable insight for policymakers, researchers, and stakeholders, underlining the urgent need for collaborative efforts to develop tailored programs, promote alternative energy sources, and advocate for policies that prioritize the energy needs of SMEs. The study acknowledges limitations related to geographical specificity, temporary constraints, and data source reliance and recommends further research to extend the geographical scope, conduct longitudinal analyses, and incorporate diverse data collection methods. By addressing these limitations, further studies can contribute to a more comprehensive understanding of the broader challenges and potential solutions faced by SMEs amid energy-related crises.