This study examine the effect of entrepreneurship innovation and entrepreneurship idea generation on small and medium enterprises performance in Mubi North Local Government Area, Adamawa State, Nigeria. The study adopted a cross-sectional exploratory survey design, which data were collected through copies of questionnaire administered to 384 respondents, and only 374 were returned successfully. Data collected was subjected to percentage analysis, and hypotheses were tested using regression analysis at the 0.05 level of significance. The findings revealed entrepreneurship opportunity recognition has significant effect on SMEs performance, entrepreneurship attitude has no significant effect on SMEs performance in Mubi North Local Government Area, Adamawa State. In addition, SMEs performance is significantly affected by entrepreneurship innovation in Mubi North Local Government Area, Adamawa State, Nigeria and lastly, entrepreneurship idea generation can affect the SMEs performance significantly in Mubi North Local Government Area, Adamawa State, Nigeria. Hence the study concludes that entrepreneurship process has significant positive effect on Small and Medium Scale Enterprises Performance in Mubi North Local Government Area, Adamawa State, Nigeria. The study recommends that entrepreneurs in Mubi North Local Government Area, Adamawa State, Nigeria, should focus on enhancing their skills in identifying and capitalizing on business opportunities. Also, it is recommended that entrepreneurs should periodically re-evaluate their attitudes towards improving their entrepreneurship through self-reflection, seeking feedback, and participating in training programs that aim to cultivate a positive and adaptive entrepreneurial mindset.