Objective: To determine the prevalence of nicotine usage among medical and paramedical students at Alrayan medical colleges at Al Madinah Munawara and assess the association between nicotine usage and socio-economic factors, smoking contacts, reasons for smoking, and attempts to quit. Materials and Methods: Cross-sectional survey in which an anonymous, self-administered questionnaire was used to survey the nicotine usage habits of medical and paramedical students at Alrayan medical collages medical college at Al Madinah Munawara January 2022