Background. Poor diet-related feeding is a common problem in Somalia, primarily due to cultural issues, such as food selection, knowledge, and beliefs. The primary goal of this case study was to determine the malnutrition status of hospitalized patients in Somalia as well as the feeding of patients on diet. Methods. This case study was conducted in five main hospitals in Somalia between March 25 and April 5, 2025, and included 150 respondents. This thesis used a semi-structured questionnaire and a Subjective Global Assessment Form (SGA) as nutrition assessment tools. The Statistical Package for the Social Sciences (SPSS) was used for data analysis. Results. The most common foods consumed by hospitalized patients or given to them by their caregivers were (70.6 %) porridge and milk (13.7%), bread, rice, and spaghetti; (12.7%) organ meats such as liver, kidney, or heart such as lamb, goat, or camel; (2%) biscuits and cookies; and (1%) food for people on special diets. However, 62.7% of people chose food because of their softness and digestibility, despite doctors or physicians recommending only 19.6% of them. The nutritional status of most respondents was mildly or moderately malnourished (63.7 %), well-nourished (19.6%), and severe (16.7%). There is a significant research gap regarding the relationship between food selection and knowledge status. Conclusions. There are significant gaps in the literature regarding the nutritional status of patients in hospitals across the country.