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Purpose: The main aim of the study was to investigate tailored resilient strategies for business continuity of SMEs in the MENA region (MENA stands for the group of countries situated in and around the Middle East and North Africa, referring to the countries between Iran in the East and Tunisia and Morocco in the West, including 19 countries). The changing macro-environmental paradigms in the MENA region resulting from many factors, such as political tensions, regional conflicts, terrorism, changing patterns, and other social problems, have significantly affected the strategies of the businesses in the small and medium enterprises market. These factors have begun exerting pressure on the SMEs, requiring them to adopt tailor-made strategies to show their resilience for the continuity of their businesses. The current investigation tends to identify the type of design strategies adopted by these SMEs and their impacts on the link with different types of business risks and in their pursuit of sustainable continuity.