Introduction: The burden of injuries due to road traffic is a major development and health issue in the Philippines, in general, and the National Capital Region (NCR), in particular. This current study is being conducted in order to describe the most recent trend (2011-2020) in road traffic injuries in the National Capital Region as well as to uncover information on why road traffic injuries continue to persist in spite of the fact that the national government has enacted statutes addressing road traffic injuries and road safety and crafted a national road safety plan Objective: Describe the trend (2011-2020) and risk factors in road traffic injuries in the National Capital Region, Philippines Methods: Using secondary data obtained from a government agency from 2011-2020, proportion of yearly road traffic injuries were calculated. Key informant interviews shed light on risk factors contributing to road traffic injuries in the Metropolitan Manila, Philippines.  Results:  The Results show that Quezon City had the highest road traffic fatality followed by Manila for the period under consideration.  Motorcycle road crashes consistently topped the number of cases for fatal and nonfatal road collisions closely followed by incidents involving cars. Risk factors identified were mainly related to road safety behaviors, road infrastructures, vehicle conditions.  Conclusions:  The trend in road traffic injuries continues to increase in the National Capital Region in the last decade with the exception of the year 2020 when the Covid 19 pandemic began. Motorcycle is the type of motor vehicle that is most commonly involved in road traffic injuries in the National Capital Region.   Human, vehicular, and tenvironmental factors were contributors to road traffic mortality in the study site. A comprehensive road safety program needs to be put in place in order to address road traffic injuries in the National Capital Region, Philippines.