The COVID-19 has changed the course of international relations, as the system sees the most powerful states of the international system ranging from the U.S. to European countries grappling with a pandemic in the absolute absence of an antidote or a vaccine. The unprecedented impacts on the system range from calls for greater medical cooperation, to possibilities of China emerging as the leader of the system to calls for the inclusion of Taiwan as a member in the World Health Organization (WHO). While all of these are issues that have existed in parts or in whole in the international system of the 21st century, the COVID-19 pandemic has also opened space for new forms of diplomacy ranging from narrative diplomacy to facemask diplomacy to medical diplomacy. China’s emergence at the international stage in the 21st century owes largely to its economic prowess, as it emerged as the manufacturing platform of the world. China’s prowess in manufacturing led it to be a pole of international trade in goods, as the world became increasingly reliant on cheaply manufactured Chinese products. While China’s most important trading partners remain in the West, in the countries of the U.S. and the European Union (EU), fact remains that South Asia is an important market for China as well. However, as the world remains quarantined in the hopes that increased social distancing enforced by lockdowns will lead the virus to die its natural death, production has taken a hit and the global economy is on the verge of a recession. Steps taken to protect countries from the virus spread range from complete lockdowns to sealing of borders with neighbouring countries to cancellation of flights to and from other countries, putting arriving citizens of respective countries from other countries into compulsory quarantine among others. South Asia has also been badly impacted by the COVID-19. In this context, it is essential to point out that China has offered medical aid and supplies to several countries of South Asia. However, what remains to be better analysed is how effective is the aid, what has been the impact of COVID-19 on China’s relations with countries of South Asia, and whether China can emerge as the most important player in South Asia in the COVID-19 order. This chapter looks at the impact of the COVID19 on individual South Asian countries, their response, particularly with respect to those arenas which might impact foreign relations with China positively or negatively. The chapter relies on primary as well as secondary sources.