Background <p>Ear health is an important yet often overlooked aspect of preventive health, particularly among young adults. This study aimed to assess the awareness and practices related to ear health among university students to identify knowledge gaps and inform targeted educational interventions.</p> Methods <p>A cross-sectional study was conducted among 565 participants using an electronic questionnaire covering demographic data, hearing status, ear health knowledge, and ear health practices. Awareness was classified into high, medium, or low based on mean scores. Chi-square tests and Spearman’s rank correlation were applied to examine associations between demographic variables and awareness or practices.</p> Results <p>Most participants recognized sudden hearing loss as an emergency (91.2%) and acknowledged the risks of Q-tip use (78.9%). However, misconceptions were common, with 82.4% believing that ear canals should be routinely cleaned of wax and 61.6% considering Q-tips beneficial. Unsafe practices included listening to music at maximum volume (86.4%), not using earplugs while swimming (96.3%), and inserting sharp objects into the ear canal (23.4%). Awareness scores indicated medium levels for noise exposure (1.67) and ear cleaning (1.74), and high awareness for general knowledge (1.44). No significant associations were observed for age, university type, or college. Females showed boarderline higher awareness (<i>p</i> = 0.05) and academic degree correlated weakly but significantly with practices (<i>p</i> = 0.03).</p> Conclusion <p>Students demonstrated awareness in some areas but misconceptions and unsafe practices remain common. Educational interventions and health promotion efforts are recommended to improve ear-care behaviors among young adults.</p>