: Publications on the attainment of lipid goals and adherence to healthy lifestyle among stroke survivors are scarce particularly in Asian countries. This study aimed to investigate the fasting serum lipid profiles and lifestyle habits among stroke survivors. Factors associated with suboptimal lipid profiles were determined. A cross-sectional study was conducted between May to August 2019 in three public hospitals in the East Coast Region of Peninsular Malaysia. Results of fasting serum lipid profiles were retrospectively traced within six months from the survey. Information on socio-demographic characteristics, clinical profiles, dietary adherence, and physical activity levels were acquired. Physical examinations measurements, such as weight, height, waist circumference, and blood pressure, were also taken during the survey. A total of 104 stroke survivors was recruited. Three-quarters of them had achieved the triglyceride and total cholesterol goals. 65.4% and 22.1% of them achieved the high-density lipoprotein cholesterol and low-density lipoprotein cholesterol (LDL-C) (<1.8mmol/L) goals, respectively. Patients with a longer duration of stroke (AOR 9.75, 95% CI: 2.07, 45.86, P=0.040), elevated diastolic blood pressure (AOR 19.27, 95% CI: 4.66, 79.70, P<0.001), chronic kidney disease (AOR 3.30, 95% CI: 1.05, 10.34, P=0.041), abdominal obesity (AOR 3.14, 95% CI: 1.20, 8.21, P=0.020), excessive energy intake (AOR 0.34, 95% CI: 0.12, 0.95, P=0.036), and excessive saturated fatty acids intake (AOR 2.85, 95% CI: 1.02, 7.93, P=0.045) were significantly associated with suboptimal lipid profiles. In conclusion, the need for more intensive and integrated dyslipidemia management, including lipid-lowering therapy and therapeutic lifestyle changes in these high-risk patients, is highly warranted..