Background: ‘Pregnancy anaemia continues to be a major public health concern, particularly in the developing world’. Knowing the prevalence of anemia, serum ferritin concentrations, and their relationships helps design better public health strategies. The current study aimed to assess the community level prevalence of anemia and serum ferritin levels alongside some demographic variables among pregnant women attending Khyber Teaching Hospital Peshawar. Methods: A cross-sectional study starting from January 2023 to January 2024 included 89 pregnant women. Along with blood samples, demographic data was collected through structured interviews. Analyzes were performed on hemoglobin and serum ferritin levels. Using SPSS, data evaluation was done through descriptive statistics and chi-square tests. Results: The overall anemia prevalence was 62.0%, with mild anemia being most common (30.3%), followed by moderate (21.3%) and severe anemia (5.6%). Ferritin depletion (<15 µg/L) was noted in 53.9% of women. Significant associations were observed between anemia and rural residence (p=0.01), lower educational attainment (p=0.02), and low monthly income (p=0.02). Low serum ferritin strongly correlated with increased anemia severity (p<0.001). Conclusion: The study highlights substantial anemia prevalence linked to socioeconomic factors and ferritin deficiency among pregnant women. Enhanced nutritional education, targeted antenatal care, and consistent iron supplementation programs should be prioritized to mitigate anemia in this vulnerable population.