Hypertension emerges as a pressing concern in Herat, Afghanistan, with a startling 27.4% prevalence among adults revealed in our recent cross-sectional study. Uncovering predictors such as age, BMI, and gender, the study also surprisingly links hypertension to variables like marital status, occupation, smoking, and even the consumption of Borani. This traditional dish’s unexpected impact emphasizes the need for holistic dietary considerations in hypertension management. Urgent action is imperative, urging healthcare practitioners to intensify efforts in monitoring, blood pressure control, and community education on nuanced contributors to hypertension, fostering a healthier and more informed populace in Herat.