Background: The COVID-19 pandemic has posed unprecedented challenges to healthcare systems worldwide, emphasizing the importance of holistic approaches to address the psychosocial needs of individuals and communities. This study explores the impact of COVID-19 related social support services in primary health care centers (PHCCs) in Saudi Arabia. Aim: The aim of this qualitative study is to examine the effectiveness, challenges, and potential areas for improvement in the delivery of COVID-19 related social support services within PHCCs in Saudi Arabia. Methods: Semi-structured interviews and focus group discussions were conducted with healthcare providers and administrators involved in the provision of social support services within 22 PHCCs in Riyadh, Saudi Arabia. Data were analyzed thematically to identify key themes related to service effectiveness, challenges, and stakeholder perspectives. Results: The findings highlight the effectiveness of COVID-19 social support services in promoting psychosocial well-being and resilience among individuals served by PHCCs. However, challenges such as resource constraints, logistical barriers, and coordination issues were identified as significant barriers to integration and service delivery. Conclusion: This study underscores the importance of continued investment in social support initiatives within PHCCs to optimize the delivery and effectiveness of services amidst the COVID-19 pandemic. By addressing resource constraints, enhancing coordination, and adopting person-centered approaches to service delivery, PHCCs can play a crucial role in supporting the well-being of individuals and communities affected by the pandemic. Further research is needed to evaluate the long-term impact of social support interventions and identify strategies for sustainability and scalability within PHCCs.