Purpose: This study investigates the moderating role of accounting conservatism in the relationship between corporate financial decisions (investment rate, financial leverage, and dividend payout policy) and the likelihood of financial distress among firms listed on the Egyptian Stock Exchange. Design and Methodology: The study analyzed a sample of 100 companies listed on the Egyptian Stock Exchange over a two-year period, from 2022 to 2023, resulting in 200 firm-year observations. with the aim of testing four hypotheses regarding the relationship between financial decisions (investment decisions, financing decisions, and dividend policies) and the likelihood of financial distress, given the moderating role of accounting conservatism. The SPSS statistical analysis program was used to conduct the statistical tests. Findings: The results indicated a negative and significant relationship between investment decisions, dividend policies, and the likelihood of financial distress for Egyptian joint-stock companies. There was no significant effect between financing decisions and the likelihood of financial distress for Egyptian joint-stock companies. The results also indicated that accounting conservatism moderates these relationships by reducing the impact of investment decisions and financial leverage and enhancing the impact of dividend policy. Originality and Scientific Contribution: This research contributes to understanding the relationship between financial decisions and financial distress and provides insights into the role of accounting conservatism in enhancing corporate financial stability and sustainability.