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Objectives Sleep is critical for optimal growth and developmental outcomes in children. Those with cerebral palsy (CP) experience sleep disorders (SDs) at higher rates than neurotypical peers, with disruptions in sleep initiation/maintenance, sleep-wake transitions, excessive daytime sleepiness, and night awakenings being prevalent. These disturbances significantly impair quality of life. The objective of this study was to assess the prevalence of Sleep disturbances and associated factors among children with CP at Tikur Anbessa Hospital’s Neurologic and Developmental Clinic in Addis Ababa, Ethiopia.Methods Cross-sectional study was conducted involving 119 children with cerebral palsy. Data were collected using the Sleep Disturbance Scale for Children (SDSC), administered by trained personnel, and analyzed in SPSS v25.Results The overall prevalence of sleep disturbances was 37% (95% CI: 26.0%–47.9%). The most common subtype was disorders of initiating and maintaining sleep (52.9%). Significant predictors of SDs included spastic CP subtype (AOR = 10.60; p = 0.025), male sex (AOR = 13.23; p = 0.010), urban residence (AOR = 3.15; p = 0.014), and severe motor impairment (GMFCS Level V: AOR = 5.70; p = 0.034; Level IV: AOR = 3.55; p = 0.044). Bed-sharing with caregivers was also associated with increased risk (AOR = 8.39; p = 0.031).Conclusions Sleep disorders are common among children with CP, especially those with spastic subtype, male sex, severe motor impairment, urban residence, and those who bed-share. These findings support the need for routine sleep assessments and targeted interventions in this population.