In reality, modern healthcare services in Nigeria have fall below expectation in meeting the health demands of majority Nigerians particularly those in rural areas. Traditional Medicine is a general discipline that combines natural concoctions/herbs and spiritual tactics for treatment of diseases. The world is remarkably witnessing increase in Demand for the traditional medicine (TM) particularly in developing countries like Nigeria. This creates a window to investigate the possible reasons behind the huge patronage of the traditional medicine in Adamawa state. The main objective of this paper is to examine the acceptability, usage, reliability, effectiveness, availability, safety, cost, and other social, economic and health system factors influencing the usage of the TM in Adamawa state Nigeria. Multistage and purposive sampling, focus group discussion and interview were the main data collection techniques used. The qualitative and quantitative data collected were descriptively analyzed. The result indicates that, the use of TM in Adamawa state is discovered to be very high with 88.6% recorded patronage level across all socioeconomic status of the study population. Education, culture, marital status, gender, easy access, cheap price, proximity, health worker attitude and income level were the socioeconomic pull factors identified to be responsibly influencing the use of traditional medicine (TM) in Adamawa state. The identified push factors that discourages the use of TM were; lack of precise dosage and negative side effects. The policy implication of this study is that, healthcare services facilities must be readily available particularly in rural area, health workers must be properly trained, people must be educated and well sensitized about the negative effects of TM. Lastly practice must be properly regulated and modernized.