Background: Despite regularly participating in international and national level multisport events, there is still limited data on the pattern of injuries and illnesses and factors associated with injuries and illnesses in Malaysia. Such information is crucial to instil preventive measures because sustaining injuries during competition could hamper the athlete’s performance. Methods: This cross-sectional study investigated the incidence, patterns and risk factors of injuries and illnesses among athletes throughout SUKIPT 2018, from the 2nd to the 10th of February 2018. All injuries and illnesses treated by tournament medical personnel were reported using a standardised online injury reporting form. This form was adapted from the injury surveillance form used by the International Olympic Committee. Results:A total of 6071 athletes from 80 contingents took part in SUKIPT 2018. During the nine days of competition 323 injuries and 48 illnesses were reported, resulting in an incidence of 5.3 injuries and 0.8 illness per 100 athletes. Approximately 6% of the athletes sustained at least one injury or illness.Conclusion:In summary, the incidence of injuries and illnesses among athletes during SUKIPT was 5.3 and 0.8 per 100 athletes, respectively. Muscle strain/rupture/tear was the most common pattern of injury while collision with another athlete was the most frequent mechanism of injury. Meanwhile, the respiratory system was the most commonly affected by illness and infection was the most prevalent cause of illness