Rumen flukes are digenean trematodes that infect ruminants causing a parasitic disease called paramphistomiasis. This survey was carried out over 12 months in Sharkia province, Egypt, to determine the incidence and occurrence of paramphistomes. A total of 410 cows, Belbis (n= 125) and Faqous (n= 285), were inspected at random for the presence of rumen flukes in naturally infected slaughtered cows, males (n= 247) and females (n= 163) slaughterhouses from September 2020 to August 2021. Paramphistomum cervi were found in 128 of 410 slaughtered cows, with an incidence of 31.2%. The highest rate has been reported in summer (39.3%), followed by autumn (33.6%), spring (29.8%) and the lowest in winter (18.6%). The difference in the seasonal variations of incidence was statistically significant. Furthermore, females were more susceptible than males, with a percent incidence of 43.6% and 23.1%, respectively. Otherwise, no significant correlation between incidence city was noted. The present results will contribute to our understanding of the epidemiology of Paramphistomum cervi in Sharqia, Egypt.