Ethiopia’s war in Tigray, in its northern region, stands as one of the gravest African armed conflicts of the 2020s. Beyond threatening regional stability in the Horn of Africa, the conflict gave rise to troubling allegations of International Humanitarian Law (IHL) violations, notably attacks on healthcare facilities, personnel, and medical transport. These attacks were allegedly committed by both sides to the conflict, i.e., the Ethiopian government and the Tigray People's Liberation Front (TPLF). While international action towards ensuring that attacks on healthcare in armed conflict do not become a global norm remains in top gear, the actions of actors in the Ethiopian conflict, seem to have significantly slowed down these efforts. It is essential that these atrocities receive the attention they deserve. Accordingly, this article examines these issues through the prism of IHL, especially the rules governing the protection of medical units, medical personnel, and humanitarian relief. It evaluates the obligations of the Ethiopian government and the TPLF, linking the facts of the conflict with relevant provisions of the law. It also focuses on two key incidents of attacks on healthcare during the conflict, analysing these against the law. It concludes that the Tigray conflict represents not only a regional tragedy but a critical stress test for the global legal architecture protecting healthcare in war.