Background: The COVID‑19 pandemic is spreading across the globe at an alarming rate. The number of COVID‑19 cases in Saudi Arabia is increasing daily. Saudi Arabia is a hot zone for outbreaks of infectious diseases like COVID‑19.

Materials and Methods: This was a retrospective descriptive study done in a single health‑care hospital, Makkah, Saudi Arabia, for 4‑month period. We include admitted COVID‑19 patients (confirmed with qualitative real‑time polymerase chain reaction test) of any gender with age >14 years. The complete data of COVID‑19 patients were extracted from electronic medical records. Data were analyzed by the Statistical Package for the Social Sciences version 23.

Results: Total enrolled cases were 226. The mean age of the patients was 58 years with SD (±0.4458) and 95% confidence interval (2.688– 2.810). The common clinical presentations were fever (77.4%), cough (77%), shortness of breath (53.5%), and myalgia (37.2%). Lymphopenia was observed in 54.4%, anemia in 8.4%, leukopenia in 16.4%, and thrombocytopenia in 9.3% of the patients. The fatality rate was 8.4% (n = 19) over this 4‑month period.

Conclusion: Advanced age and comorbidity plays a pivotal role in disease mortality. Elderly people’s constant evaluation and management is of fundamental importance to decrease mortality.