Background: Breaking bad news (BBN) is considered a crucial skill in all branches of medicine. Absence of effective BBN can lead to negative consequences and jeopardize doctor–patient relationship. This study aims to assess physicians‘ competencies in BBN of different specialties in Dammam, Saudi Arabia. Method: A cross sectional study was conducted from Feb 2018 till March 2018 among 208 physicians practicing in two governmental hospitals at Ministry of Health. A self–administered questionnaire for BBN was used. Results: Among the surveyed physicians, only 10% had a good knowledge about BBN while 57 % their knowledge was fair. Thirty–one percent considered their practice in BBN as highly competent and the majority (69%) have positive attitude towards BBN. Several factors were associated with high level of competence like being non–Saudi physicians, more experienced, consultant, and low work load. Conclusion: Although physicians’ knowledge rated poor to fair among the majority, most have positive attitude towards BBN. Therefore, efforts to consolidate knowledge and practice of BBN are highly recommended.