Abstract Background: Eating disorders (EDs) are complex mental health conditions that can significantly impair physical and psychosocial functioning, and University students are considered a high-risk group. Limited studies have explored the prevalence and associated factors of EDs among university students in Malaysia. Objective: To determine the prevalence of eating disorders and identify associated factors among university students. Methods: A cross-sectional study was conducted among 382 students from a private university in Malaysia using convenience sampling. Data were collected via an online survey distributed through Microsoft Teams and email. The survey included demographic, socioeconomic, and behavioural variables, as well as access to health services. The Sick, Control, One, Fat, Food (SCOFF) Questionnaire was used for ED screening. Statistical analysis was performed using Pearson Chi square and correlation tests, with significance set at p < 0.05. Results: The prevalence of eating disorders was 39.3%. Positive screening for EDs was significantly associated with female gender (p = 0.002), higher weight status (p < 0.001), lower household economic status (p = 0.028), and limited access to health services (p < 0.001). Conclusions: The prevalence of eating disorders among university students was high. Early diagnosis and targeted interventions are essential to mitigate risk and improve student well-being.